PMID- 16941793
OWN - NLM
STAT- MEDLINE
DCOM- 20061020
LR  - 20220409
IS  - 0004-5772 (Print)
IS  - 0004-5772 (Linking)
VI  - 54
DP  - 2006 Aug
TI  - Gestational diabetes mellitus--guidelines.
PG  - 622-8
AB  - The Diabetes In Pregnancy Study group India (DIPSI) is reporting practice 
      guidelines for GDM in the Indian environment. Due to high prevalence, screening 
      is essential for all Indian pregnant women. DIPSI recommends that as a pregnant 
      woman walks into the antenatal clinic in the fasting state, she has to be given a 
      75g oral glucose load and at 2 hrs a venous blood sample is collected for 
      estimating plasma glucose. This one step procedure of challenging women with 75 
      gm glucose and diagnosing GDM is simple, economical and feasible. Screening is 
      recommended between 24 and 28 weeks of gestation and the diagnostic criteria of 
      ADA are applicable. A team approach is ideal for managing women with GDM. The 
      team would usually comprise an obstetrician, diabetes physician, a diabetes 
      educator, dietitian, midwife and pediatrician. Intensive monitoring, diet and 
      insulin is the corner stone of GDM management. Oral agents or analogues though 
      used are still controversial. Until there is evidence to absolutely prove that 
      ignoring maternal hyperglycemia when the fetal growth patterns appear normal on 
      the ultrasonogram, it is prudent to achieve and maintain normoglycemia in every 
      pregnancy complicated by gestational diabetes. The maternal health and fetal 
      outcome depends upon the care by the committed team of diabetologists, 
      obstetricians and neonatologists. A short term intensive care gives a long term 
      pay off in the primary prevention of obesity, IGT and diabetes in the offspring, 
      as the preventive medicine starts before birth.
FAU - Seshiah, V
AU  - Seshiah V
FAU - Das, A K
AU  - Das AK
FAU - Balaji, V
AU  - Balaji V
FAU - Joshi, Shashank R
AU  - Joshi SR
FAU - Parikh, M N
AU  - Parikh MN
FAU - Gupta, Sunil
AU  - Gupta S
CN  - Diabetes in Pregnancy Study Group
LA  - eng
PT  - Journal Article
PT  - Practice Guideline
PL  - India
TA  - J Assoc Physicians India
JT  - The Journal of the Association of Physicians of India
JID - 7505585
SB  - IM
MH  - Continuity of Patient Care
MH  - Delivery, Obstetric
MH  - Diabetes, Gestational/*diagnosis/*therapy
MH  - Female
MH  - Humans
MH  - India
MH  - Patient Care Team
MH  - Pregnancy
EDAT- 2006/09/01 09:00
MHDA- 2006/10/21 09:00
CRDT- 2006/09/01 09:00
PHST- 2006/09/01 09:00 [pubmed]
PHST- 2006/10/21 09:00 [medline]
PHST- 2006/09/01 09:00 [entrez]
PST - ppublish
SO  - J Assoc Physicians India. 2006 Aug;54:622-8.