Gestational diabetes mellitus: from consensus to action on screening and treatment

McIntyre, H David; Cheung, N Wah; Oats, Jeremy J N; Simmons, David

doi:10.5694/j.1326-5377.2005.tb07056.x

Topics

Results of a recent Australian trial suggest it is time to stop equivocating about screening and treatment

The 1998 consensus guidelines on the management of gestational diabetes mellitus from the Australasian Diabetes in Pregnancy Society emphasised that, “due to a lack of good quality randomised controlled clinical trials in the area of [gestational diabetes mellitus], these guidelines are based on what is a reasonable consensus of informed opinion in Australasia”.1 The clear benefits of treating women with gestational diabetes according to these guidelines have now been demonstrated by the Australian Carbohydrate Intolerance Study in Pregnant Women (ACHOIS).2

1 Mater Health Services, Brisbane, QLD.
2 Westmead Hospital, Sydney, NSW.
3 The Royal Women's Hospital, Melbourne, VIC.
4 Waikato Clinical School, University of Auckland, Hamilton, New Zealand.

Correspondence:

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