The Medical Management of Gestational Diabetes in Australia within a Solo Private Practice
- 30 July 1994
- journal article
- Published by Wiley in Diabetic Medicine
- Vol. 11 (6), 597-600
- https://doi.org/10.1111/j.1464-5491.1994.tb02044.x
Abstract
This study reports the obstetric and fetal outcomes of 266 consecutive patients with gestational diabetes managed by a solo practitioner in private practice. Labour was spontaneous in 75.6% and 93.2% had a gestational age of delivery between 37 and 41 weeks. The elective Caesarean section rate of 14.7% was slightly higher than the rate for the overall obstetric population. Insulin therapy was required in 12.8% of the patients with a mean daily dose of 35.3 units. The rate of insulin use increased to 23.8% during 1993 when the criteria for its use was revised. This was associated with a significantly lower macrosomic rate of 3.6%. Overall there was a significant reduction in the number of babies weighing < or = 2500 g and no increase in the number of babies weighing > or = 4000 g. One patient only was admitted to hospital during this 30-month period and there was 1 neonatal death. These results indicate that successful medical management of gestational diabetes, with obstetric and fetal results similar to the overall obstetric population, is possible outside of tertiary institutions and specialized clinics.Keywords
This publication has 24 references indexed in Scilit:
- Fetal Outcome in Mothers with Impaired Glucose Tolerance in PregnancyDiabetic Medicine, 1993
- Early nutrition and diabetes mellitus.BMJ, 1993
- Gestational diabetes: a non-entity?BMJ, 1993
- Correlations between Antepartum Maternal Metabolism and Intelligence of OffspringNew England Journal of Medicine, 1991
- Maternal postprandial glucose levels and infant birth weight: The Diabetes in Early Pregnancy StudyAmerican Journal of Obstetrics and Gynecology, 1991
- Diagnosing Gestational Diabetes Mellitus: Is the Gold Standard Valid?Diabetes Care, 1989
- Glycemic control in gestational diabetes mellitus-How tight is tight enough: Small for gestational age versus large for gestational age?American Journal of Obstetrics and Gynecology, 1989
- SHOULD ALL PREGNANT WOMEN BE SCREENED FOR GESTATIONAL GLUCOSE INTOLERANCE?The Lancet, 1989
- Prevention of Perinatal Morbidity by Tight Metabolic Control in Gestational Diabetes MellitusDiabetes Care, 1988
- MACROSOMY DESPITE WELL-CONTROLLED DIABETIC PREGNANCYThe Lancet, 1984