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Clinical history, including previous abnormal pregnancy history, birth of a large
baby, maternal obesity, and family history of diabetes, is demonstrated to be an insensitive
screening factor in the selection of gestational diabetic patients. A screening blood
sugar test and the age of the prenatal patient appear as the two most important of
the factors studied for the identification of the gestational diabetic patient. A
one-hour screening blood sugar test following oral ingestion of 50 Gm. of glucose
and a glucose tolerance test on those patients with levels exceeding 130 mg. per 100 ml. of whole blood
*Approximate equivalent for plasma or freshly separated serum is 150 mg. per 100 ml.
are recommended. For the gestational diabetic patient at special risk for a current
pregnancy, this procedure should be carried out in all patients 25 years or older.To read this article in full you will need to make a payment
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REFERENCES
- J. Reprod. Med. 1971; 7: 21
- Am. J. Obstet. Gynecol. 1973; 116: 901
- Diabetes. 1963; 12: 313
- Diabetes. 1964; 13: 278
- Public Health Rep. 1963; 78: 1023
- Principles and Procedures in the Evaluation of Screening for Disease, Public Health Service Publication No. 846. United States Government Printing Office, Washington1961
- J. A. M. A. 1944; 124: 271
- Ann. Intern. Med. 1951; 34: 678
- Br. Med. J. 1952; 2: 690
Article info
Publication history
Accepted:
January 18,
1973
Received in revised form:
November 15,
1972
Received:
August 31,
1972
Footnotes
This analysis was supported by National Institute of Child Health and Human Development Grant No. HD 06418 and formerly by the Center for Disease Control and the National Institute of Arthritis and Metabolic Diseases of the United States Public Health Service.
Identification
Copyright
© 1973 The C. V. Mosby Company. Published by Elsevier Inc. All rights reserved.
