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Article: PRO & CON: Should screening for gestational diabetes be targeted rather than universal?
- Article from:
- OB GYN News
- Article date:
- September 15, 2000
CopyrightCOPYRIGHT 2000 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan. All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)
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Dr. Anne Kenshole is director for the Trihospital Diabetes Education Centre in Toronto.
YES The American Diabetes Association has concluded that screening be done selectively on the basis of six exclusionary criteria. To be deemed low risk, they must be younger than age 25, be of a normal prepregnancy weight, belong to an ethnic group with a low prevalence of gestational diabetes, have no first-degree relatives with diabetes, have no personal history of abnormal glucose tolerance and no history of poor obstetrical outcome. In the United States there are about 4.3 million births a year. About 10% (430,000) would be deemed at low risk, and about 3% of those ...