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Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Aust+N+Z+J+Obstet+Gynaecol 2020 ; 60 (5): 660-666 Nephropedia Template TP
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Options for screening for gestational diabetes mellitus during the SARS-CoV-2 pandemic #MMPMID32779188
Simmons D; Rudland VL; Wong V; Flack J; Mackie A; Ross GP; Coat S; Dalal R; Hague BM; Cheung NW
Aust N Z J Obstet Gynaecol 2020[Oct]; 60 (5): 660-666 PMID32779188show ga
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.