Premium
Gestational Diabetes Mellitus. At What Time Should the Postprandial Glucose Level be Monitored?
Author(s) -
G Moses Robert,
M Luca Elizabeths,
Knights Sallyanne
Publication year - 1999
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.1999.tb03132.x
Subject(s) - postprandial , medicine , gestational diabetes , pregnancy , insulin , diabetes mellitus , obstetrics , endocrinology , gestational age , gestation , biology , genetics
Summary Objective : To compare selected pregnancy outcomes for women with gestational diabetes mellitus (GDM) with management based on testing either 1 hour or 2 hours postprandially according to the ADIPS recommendations. Methods : Prospective study of consecutive women referred for the medical management of their GDM. Women were allowed to select whether they would test either 1 hour postprandial with a target glucose of <8.0mmol/L or 2 hours postprandial with a target glucose of <7.0mmol/L. Changes to diet and the introduction and adjustment of insulin therapy were designed to maintain postprandial glucose levels below these targets. Results : 166 women elected to test 1 hour postprandial and 101 elected to test 2 hours postprandial. There were no significant demographic differences between these 2 groups. The fetal birth weight, percentage of women requiring insulin and the total daily dose of insulin were similar in both groups. Conclusions : For women with GDM, monitoring either 1 hour or 2 hours postprandially led to similar outcomes. This would suggest that the ADIPS recommendations are equivalent and therefore women can choose the most convenient time for their postprandial monitoring.