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Re: GDM screeningFrom: Robert J. Carpenter, Jr. MD (zygote@icsi.net)Mon Mar 22 18:22:02 1999
> Date: Mon, 22 Mar 1999 18:26:33 -0600 > Reply-to: ob-gyn-l@obgyn.net > From: elishyde@connix.com (Betsy Hyde) > To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net> > Subject: Re: GDM screening > 2) do weekly BPPs on gestational diabetics, whether they are on insulin or not > 3) If you have a pt with abnormal 1 hr test but normal 3 hr GTT, do you still check their fasting or postprandial glucose? Betsy Hyde CNM Branford, CT The information above concerning the use of bpp for gestational diabetes is not necessary as long as the patient is neither on insulin or has hypertension. In either of the lattr cases the patient is treated as a type 1 diabetic from fetal surveillance purposes. The abnormal single value has significant meaning. In the NEJM about 1988 Talliergo (sp?) demonstrated a linear increase in the size of babies and a corresponding increase in C/S raes for his Italian popoulation. The value was the 2hr value. For every 10mg/dl increase in value, the above findings were recorded. For thos individuals who have elevated values above 140mgs, I routinely send them for nutrition counselling. Now, I do not have andomized, prospective data to show efficacy. It is a relatively cheap way to improve nutrition. R.J Carpenter, Jr. 6624 Fannin, #2720 Houston,TX 77030-2339 713-795-4600
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