Options for screening for gestational diabetes mellitus during the SARS‐CoV‐2 pandemic

Autor: Vincent W. Wong, David Simmons, Victoria L. Rudland, Bill M. Hague, Raiyomand Dalal, Jeff R. Flack, N. W. Cheung, Adam Mackie, Glynis P. Ross, Suzette Coat
Rok vydání: 2020
Předmět:
Adult
Blood Glucose
Pediatrics
medicine.medical_specialty
endocrine system diseases
diagnosis
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
Clinical Perspectives
Clinical Decision-Making
Pneumonia
Viral
Gestational Age
030209 endocrinology & metabolism
Risk Assessment
Patient Isolation
Fasting glucose
03 medical and health sciences
0302 clinical medicine
Pregnancy
Prenatal Diagnosis
Obstetrics and Gynaecology
Pandemic
medicine
Humans
macrosomia
030212 general & internal medicine
Pregnancy Complications
Infectious
Pandemics
Infection Control
business.industry
screening
Pregnancy Outcome
COVID-19
nutritional and metabolic diseases
Obstetrics and Gynecology
Gestational age
General Medicine
Glucose Tolerance Test
medicine.disease
gestational diabetes mellitus
Gestational diabetes
Diabetes
Gestational
stillbirth
Female
Coronavirus Infections
Risk assessment
business
Clinical risk factor
Zdroj: Australian and New Zealand Journal of Obstetrics and Gynaecology
The Australian & New Zealand Journal of Obstetrics & Gynaecology
ISSN: 1479-828X
0004-8666
Popis: The balance between avoiding severe acute respiratory syndrome coronavirus-2 contagion and reducing wider clinical risk is unclear for gestational diabetes mellitus (GDM) testing. Recent recommendations promote diagnostic approaches that limit collection but increase undiagnosed GDM, which potentially increases adverse pregnancy outcome risks. The most sensitive approach to detecting GDM at 24-28 weeks beyond the two-hour oral glucose tolerance test (OGTT) is a one-hour OGTT (88% sensitivity). Less sensitive approaches use fasting glucose alone (≥5.1 mmol/L: misses 44-54% GDM) or asking ~20% of women for a second visit (fasting glucose 4.7-5.0 mmol/L (62-72% sensitive)). Choices should emphasise local and patient decision-making.
Databáze: OpenAIRE
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