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Re: Birth weigh observationsFrom: James S Smeltzer MD (gaperina@mindspring.com)Mon Mar 30 08:50:32 1998
At 09:12 AM 3/28/1998 -0600, you wrote: >Over my span of ultrasound career (16yrs) I have seen something that >cannot be adequately explained. OB patients that test high on the one >hour glucose challenge and normal on the three hour seem to show more >fetal weight gain in the last 6 weeks of pregnancy. >Janet > Oded Langer did a study that evaluated the patients with ONE abnormal value on the GTT & found that they had MORE macrosomia than the identified & treated GDM patients. Were these "normals" in that category. Others have looked at the group with an abnormal screen and totally normal GTT & they have NOT found any increase in macrosomia. I have not looked at this in any systematic way but share your impression & tell all the patients who have abnormal screens to avoid concentrated sweets, fruits as solo snacks & eat 3 small meals & 3 snacks to spread out the challenge to their pancreas. I do not tell them they are diabetic.
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