Endocrinology
| GDM
Endocrinology
GDM
One-Step Versus Two-Step Approach for Gestational Diabetes Mellitus Screening: Comparison of Maternal and Fetal Outcomes in a Canadian Population
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Source:
ENDO Online 2020 - Poster session
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Published on Medfyle:
June 2020
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4
min
This Medfyle was published more than two years ago. More recent Medfyle on this topic may now be available.
Key messages
- The diagnostic method for gestational diabetes mellitus (GDM) is still debated between the One-Step and Two-Step Method.
- When comparing two similar Canadian populations, using the one-step method vs the two-step method resulted in a 15% prevalence increase.
- The two-step method (more liberal diagnostic cut-offs values) vs the one-step method (with stricter diagnostic values) resulted in an increased rate of large for gestational age neonates, neonatal hypoglycemia, gestational hypertension and neonatal intensive care unit admissions.
- Future directions will include cost analysis of increased prevalence in light of decreased complications and hopefully a unique worldwide diagnostic method.
Presenting Author
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Fanny Goyette, MD
University of Montreal, Canada
Fanny Goyette is a PGY4 endocrinology fellow at the University of Montreal working primarily at the Centre Hospitalier Universitaire de Montreal (CHUM).
