Re: GDM Screening (from Ruth Swarbrick)
What about post polycose glucose prior to GTT?
This has been fairly standard here for decades; quite a number of false
positives though, despite the guidelines on utility of random glucoses - I
had a patient with a post polycose glucose of around 12 last week with a
normal GTT - I had to "un-book" her from the Gestational Diabetic
Specialists' Clinic after the GTT result came back !
JW
Dr Jon Wilcox
General Medicine, Paediatrics and Obstetrics,
Glenfield Medical Centre,
452 Glenfield Road,
Auckland 1310, New Zealand
Phone or Fax +649-444-7656
e-mail [log in to unmask]
>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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