I have just transferred to an idyllic country district general hospital on
rotation as part of my specialist registrar rotation in O and G and have
today sat, somewhat frustratedly through my first morbidity and mortality
meeting today. In this meeting it was suggested that we should be screening
everybody for gestational diabetes because if we wait for detection of
macrosomic babies on scan "we have missed the boat". I was acutley aware
that what was needed was some discussion of positive and negative predictive
values of random glucose levels and GTT, and the benefits of diagnosis(what
are they?) but I lacked the skills to present a logical rebuttal. Can anyone
point me in the right direction?
Many thanks,
Ruth
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