-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: OB: Gest DM criteria From: zygote@icsi.net Mon May 31 10:48:44 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: zygote@icsi.net: "Re: Cervical length question" Previous message: Robert J. Woolley: "Re: What does a license mean?" In reply to: Ronald E. Ainsworth: "Re: OB: Gest DM criteria" Next in thread: DoctorJoe@aol.com: "Re: OB: Gest DM criteria" Date sent: Mon, 17 May 1999 19:43:06 -0500 Send reply to: ob-gyn-l@obgyn.net From: ainsron@msn.com (Ronald E. Ainsworth) To: Multiple recipients of list OB-GYN-L <ob-gyn-l@talk.obgyn.net> Subject: Re: OB: Gest DM criteria Both are correct; however the best one is the revised downwards one of Metzger. Than is basically the carpenter (marshall) and Coustan values which are more valid. Two years ago at the Gest DM meeting in Chicago, the Coustan valuse were overwhelmingly endorsed. The lack of change is related to the usual politics of ADA and ACOG. Needless to say, since so many medmal cases with shoulder dystocia have frequent missed on either/or missing screening entirely or not acting on data, the legal implications of lowering the cutoffs will be substantial. Rember also there are a number of folk who believe ethat GestDM is a disease looking for a cure, simply translated there is no such disease. For me the 95 etc cutoffs have been used. Ray Wait has had our residents use tohose values as well at Ben Taub Hospital. If anyone does choose to use the C/C data, you certainly will be exceeding the current s.o.c. Since I have been out of town if someone else has made this reply, sorry for the duplication. > >The ADA article uses the 105/190/165/145 cutoffs; the Metzger article > >uses the 95/180/155/140. Both refer to plasma glucose. > > > >Who is right, and which do we use? (Metzger comments that morbidity is increased above their cutoffs, but did the ADA not use their recommendation?) > > In California we have a program called "Sweet Success" that provides > physicians with the referral sources for diabetic counselling: > dieticians, nurse educators, etc. They recently modified their > recommendation for cutoffs to match the Metzger article. I was told by > the coordinators for the program that ADA would be lowering their > criteria sometime this year to the same levels. > > -- > Ronald E. Ainsworth, MD, FACOG > Paradise, CA, Private Practice 20 yrs. Robert J. Carpenter, Jr., M.D. St. Luke's Medical Tower # 2720 6624 Fannin, Houston, TX 77030 zygote@icsi.net 713-795-4600 FAX:713-795-4422 Next message: zygote@icsi.net: "Re: Cervical length question" Previous message: Robert J. Woolley: "Re: What does a license mean?" In reply to: Ronald E. Ainsworth: "Re: OB: Gest DM criteria" Next in thread: DoctorJoe@aol.com: "Re: OB: Gest DM criteria"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Dec 2 05:28:20 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.