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Screening for hyperglycaemia in pregnancy: Consensus and controversy
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Waugh, Norman, Pearson, Donald and Royle, Pamela (2010) Screening for hyperglycaemia in pregnancy: Consensus and controversy. Best Practice & Research Clinical Endocrinology & Metabolism, Vol. 24 (No. 4). pp. 553-571. doi:10.1016/j.beem.2010.06.004 ISSN 1521-690X.
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Official URL: http://dx.doi.org/10.1016/j.beem.2010.06.004
Abstract
Policy decisions on whether to implement screening programmes depend on whether the proposed programmes meet a set of criteria laid down by the World Health Organization. Screening for hyperglycaemia in pregnancy (HGP) does not meet all the criteria. However the case for screening has been strengthened by a number of recent developments, including: rising prevalence of HGP because of increasing maternal age and BMI; the results of the Hyperglycaemia and Adverse Pregnancy Outcomes study, showing that adverse effects of HGP are seen over a wider range of plasma glucose levels than previously thought; two large trials which showed the benefits of treating lesser degrees of HGP; trials showing that metformin and glibenclamide were effective and safe alternatives to immediate insulin in those without good control on lifestyle measures alone.
Item Type: | Journal Article | ||||
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Population, Evidence & Technologies (PET) > Warwick Evidence Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Journal or Publication Title: | Best Practice & Research Clinical Endocrinology & Metabolism | ||||
Publisher: | Elsevier BV | ||||
ISSN: | 1521-690X | ||||
Official Date: | 2010 | ||||
Dates: |
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Volume: | Vol. 24 | ||||
Number: | No. 4 | ||||
Page Range: | pp. 553-571 | ||||
DOI: | 10.1016/j.beem.2010.06.004 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Restricted or Subscription Access |
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