Author Interviews, Diabetes, NEJM, OBGYNE / 19.08.2022
Gestational Diabetes: Lower vs Higher Glucose Levels for Diagnosis
MedicalResearch.com Interview with:
Professor Caroline Crowther MB ChB, DCH, FRANZCOG, MD, DDU, FRCOG, CMFM
Maternal Fetal Medicine Subspecialist
Professor of Maternal & Perinatal Health
Liggins Institue
Waipapa Taumata Rau | University of Auckland
MwdicalResearch.com: What is the background for this study?
Response: Gestational diabetes is a growing and significant health problem worldwide for women affected and their babies. Treatment of gestational diabetes improves maternal and infant health but it remains unclear what degree of maternal hyperglycaemia should be used to make the diagnosis. Because of this uncertainty, recommended diagnostic criteria vary around the world.
The GEMS randomised trial assessed whether use of lower glycaemic diagnostic criteria, recommended by the International Association of Diabetes and Pregnancy Study Groups would improve perinatal health, without increasing maternal risks, compared to use of higher criteria, and to assess the effects on use of the health services.
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