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 |
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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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