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Gestational Diabetes Management

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41. The cost-effectiveness of gestational diabetes screening including prevention of type 2 diabetes: application of a new model in India and Israel

or lifestyle management, or both for diabetes, and antenatal interventions for perinatal adverse events. The comparator was no gestational diabetes screening. Location/setting India and Israel/secondary care. Methods Analytical approach: A published decision analysis model was used to assess the cost-effectiveness of the intervention for a cohort of 1,000 women, in two settings with contrasting epidemiology and costs. For India, a general medical facility was considered, and for Israel, a large health (...) The cost-effectiveness of gestational diabetes screening including prevention of type 2 diabetes: application of a new model in India and Israel The cost-effectiveness of gestational diabetes screening including prevention of type 2 diabetes: application of a new model in India and Israel The cost-effectiveness of gestational diabetes screening including prevention of type 2 diabetes: application of a new model in India and Israel Marseille E, Lohse N, Jiwani A, Hod M, Seshiah V, Yajnik CS

2014 NHS Economic Evaluation Database.

42. Women's views on lifestyle changes to reduce the risk of developing Type 2 diabetes after gestational diabetes: a systematic review, qualitative synthesis and recommendations for practice. (PubMed)

lifestyle and behaviour changes.We identified qualitative studies that examined the views of women with a history of gestational diabetes towards healthy eating and physical activity, Type 2 diabetes risk management or their experience of a diabetes prevention programme, and conducted a thematic synthesis to develop descriptive and then analytical themes. We also evaluated the quality of each study and the confidence that we had in our findings.We included 21 articles after screening 23 160 citations (...) Women's views on lifestyle changes to reduce the risk of developing Type 2 diabetes after gestational diabetes: a systematic review, qualitative synthesis and recommendations for practice. After gestational diabetes, many women exhibit behaviours that increase their risk of developing Type 2 diabetes. We aimed to systematically synthesize the literature that focuses on the views of women with a history of gestational diabetes on reducing their risk of developing diabetes postpartum through

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2019 Diabetic Medicine

43. Women's views on screening for Type 2 diabetes after gestational diabetes: a systematic review, qualitative synthesis and recommendations for increasing uptake. (PubMed)

Women's views on screening for Type 2 diabetes after gestational diabetes: a systematic review, qualitative synthesis and recommendations for increasing uptake. Many women do not attend recommended glucose testing following a pregnancy affected by gestational diabetes (GDM). We aimed to synthesize the literature regarding the views and experiences of women with a history of GDM on postpartum glucose testing, focusing on barriers and facilitators to attendance.We systematically identified (...) or moderate confidence.We have identified a need to improve women's understanding about Type 2 diabetes and GDM, and to adjust healthcare provision during and after pregnancy to decrease barriers and increase motivation for testing. Encouraging higher uptake by incorporating these recommendations into practice will enable earlier management of diabetes and improve long-term outcomes.© 2019 The Authors. Diabetic Medicine published by John Wiley & Sons Ltd on behalf of Diabetes UK.

2019 Diabetic Medicine

44. Randomised controlled trial: Should metformin be preferred over insulin therapy in the management of gestational diabetes (GDM)?

Randomised controlled trial: Should metformin be preferred over insulin therapy in the management of gestational diabetes (GDM)? Should metformin be preferred over insulin therapy in the management of gestational diabetes (GDM)? | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username (...) and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Should metformin be preferred over insulin therapy in the management of gestational diabetes (GDM)? Article Text Therapeutics Randomised controlled trial Should

2013 Evidence-Based Medicine (Requires free registration)

45. "Why screen if we cannot follow-up and manage?" Challenges for gestational diabetes screening and management in low and lower-middle income countries: results of a cross-sectional survey. (PubMed)

"Why screen if we cannot follow-up and manage?" Challenges for gestational diabetes screening and management in low and lower-middle income countries: results of a cross-sectional survey. The prevalence of gestational diabetes (GDM) in low and lower middle income countries (LLMIC) is increasing. Despite its associated short and long term complications for mothers and their newborns, there is a lack of knowledge about how to detect and manage GDM. The objective of our study was to identify (...) the challenges that first line healthcare providers in LLMIC face in screening and management of GDM.We conducted a cross-sectional survey of key informants from 40 low and lower-middle income countries in Africa, South-Asia and Latin-America by sending out questionnaires to 182 gynecologists, endocrinologists and medical doctors. Sixty-seven respondents from 26 LLMIC provided information on the challenges they encounter. Data was thematically analyzed and revealed eight overarching themes, including

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2016 BMC Pregnancy and Childbirth

46. Improving outcomes in gestational diabetes: does gestational weight gain matter? (PubMed)

Improving outcomes in gestational diabetes: does gestational weight gain matter? Excessive gestational weight gain increases risk of gestational diabetes mellitus (GDM) but it remains unclear whether weight control after GDM diagnosis improves outcomes. We assessed whether: (1) total gestational weight gain during pregnancy (0-36 weeks); (2) early gestational weight gain (0-28 weeks, before GDM diagnosis); or (3) late gestational weight gain (28-36 weeks, after diagnosis) are associated (...) with women with substantial weight gain after diagnosis. There were no significant associations between early gestational weight gain (0-28 weeks) and pregnancy outcomes.These findings suggest that controlling gestational weight gain should be a priority following GDM diagnosis to optimize pregnancy outcomes and improve maternal postnatal glucose homeostasis. The period after diagnosis of GDM (often 28 weeks gestation) is not too late to offer lifestyle advice or intervention to improve weight management

2018 Diabetic Medicine

47. Efficacy of vitamin D supplementation in gestational diabetes mellitus: Systematic review and meta-analysis of randomized trials. (PubMed)

Efficacy of vitamin D supplementation in gestational diabetes mellitus: Systematic review and meta-analysis of randomized trials. Trials have examined on the benefits of vitamin D supplementation in pregnant women.This review aimed to evaluate whether oral vitamin D supplements, when given to pregnant women with gestational diabetes mellitus (GDM), would improve maternal and neonatal outcomes, compared with no treatment or placebo.We performed a systematic review following Cochrane methodology (...) , and randomized trials were included where pregnant women with GDM received vitamin D supplementation versus placebo/no treatment or vitamin D and calcium versus placebo/no treatment. Primary outcomes were preeclampsia, preterm birth, cesarean delivery, gestational hypertension, and adverse events related to vitamin D supplementation. The search strategies were applied to the following databases: MEDLINE, Embase, LILACS, and CENTRAL. Similar outcomes in at least two trials were plotted using Review Manager

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2019 PLoS ONE

48. Health app: GDm-Health for people with gestational diabetes

this information to prioritise users for review. Improved communication using the app could potentially reduce the workload for healthcare professionals and the number of outpatient appointments. This would depend on current local protocols for managing gestational diabetes. Blood glucose and other information are recorded electronically, which allows for efficient data auditing. Current care pathway The NICE guideline on diabetes in pregnancy recommends that people with gestational diabetes should have (...) . All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 8 of 14Adopting GDm-Health may need changes to local protocols for managing gestational diabetes. These could include introducing protocols for responding to users, remote monitoring, communication between users and other members of the healthcare team, training and data storage, and management and security. Implementing and managing GDm-Health may need additional staff

2017 National Institute for Health and Clinical Excellence - Advice

49. Improving the effectiveness of lifestyle interventions for gestational diabetes prevention: a meta-analysis and meta-regression

Improving the effectiveness of lifestyle interventions for gestational diabetes prevention: a meta-analysis and meta-regression Diet and exercise during pregnancy have been used to prevent gestational diabetes mellitus (GDM) with some success.To examine the effectiveness of lifestyle intervention on GDM prevention and to identify key effectiveness moderators to improve the prevention strategy.Pubmed, Scopus, Cochrane, and cross-references were searched.Randomised controlled trials (RCTs (...) the preventive effect: targeting the high-risk population; an early initiation of the intervention; the correct intensity and frequency of exercise; and gestational weight gain management. Although 24 RCTs targeted women who were overweight or obese, body mass index (BMI) failed to predict the effectiveness of an intervention. Instead, interventions are most effective in high-incidence populations rather than simply in women who are overweight or obese. Furthermore, exercise of moderate intensity for 50-60

2018 EvidenceUpdates

50. Continuous glucose monitoring results in lower HbA1c in Malaysian women with insulin-treated gestational diabetes: a randomized controlled trial

and 36 weeks' gestation (Group 1, CGM, n = 25) or usual antenatal care without CGM (Group 2, control, n = 25). All women performed seven-point capillary blood glucose (CBG) profiles at least 3 days per week and recorded hypoglycaemic events (symptomatic and asymptomatic CBG < 3.5 mmol/l; non-fasting < 4.0 mmol/l). HbA1c was measured at 28, 33 and 37 weeks. In Group 1, both CGM and CBG data were used to manage diabetes, whereas mothers in Group 2 were managed based on CBG data alone.Baseline (...) Continuous glucose monitoring results in lower HbA1c in Malaysian women with insulin-treated gestational diabetes: a randomized controlled trial To determine if therapeutic, retrospective continuous glucose monitoring (CGM) improves HbA1c with less hypoglycaemia in women with insulin-treated gestational diabetes mellitus (GDM).This prospective, randomized controlled, open-label trial evaluated 50 women with insulin-treated GDM randomized to either retrospective CGM (6-day sensor) at 28, 32

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2018 EvidenceUpdates

51. HbA1c point of care test for the diagnosis and management of diabetes mellitus

because these patients were included in the evidence presented for established diabetes, and suggested that the third item descriptor could be deleted. ESC noted that HbA1c testing is inappropriate for the diagnosis of gestational diabetes. ESC noted that consumers are likely to want access to an HbA1c PoC test if it helps them manage their condition better. ESC KEY ISSUES ESC ADVICE Coning Coning means that 34% of HbA1c tests are not reimbursed, but ESC was uncertain as to whether the correct (...) HbA1c point of care test for the diagnosis and management of diabetes mellitus 1 Public Summary Document Application No. 1431 – HbA1c point of care testing for the diagnosis and management of diabetes mellitus Applicant: Optum for IVD Australia Date of MSAC consideration: MSAC 70 th Meeting, 27 July 2017 Context for decision: MSAC makes its advice in accordance with its Terms of Reference, visit the MSAC website 1. Purpose of application An application requesting three new Medicare Benefit

2017 Medical Services Advisory Committee

52. Screening for gestational diabetes mellitus: are the criteria proposed by the International Association of the Diabetes and Pregnancy Study Groups cost-effective?

complications due to gestational diabetes were the key inputs for the model. Monetary benefit and utility valuations: The utility values for neonatal death, permanent brachial plexus injury, pre-term birth, and maternal diabetes were from published literature. Measure of benefit: Quality-adjusted life-years (QALYs) were the summary benefit measure and they were discounted at an annual rate of 3%. Cost data: The economic analysis included the costs of screening, management of diabetes, and pregnancy (...) Screening for gestational diabetes mellitus: are the criteria proposed by the International Association of the Diabetes and Pregnancy Study Groups cost-effective? Screening for gestational diabetes mellitus: are the criteria proposed by the International Association of the Diabetes and Pregnancy Study Groups cost-effective? Screening for gestational diabetes mellitus: are the criteria proposed by the International Association of the Diabetes and Pregnancy Study Groups cost-effective? Werner EF

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2013 NHS Economic Evaluation Database.

53. Dietary Intervention, Gestational Weight Gain and Gestational Diabetes.

Dietary Intervention, Gestational Weight Gain and Gestational Diabetes. Dietary Intervention, Gestational Weight Gain and Gestational Diabetes. - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Dietary (...) Intervention, Gestational Weight Gain and Gestational Diabetes. The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03191331 Recruitment Status : Recruiting First Posted : June 19, 2017 Last Update Posted : October 19, 2018 See

2017 Clinical Trials

54. Improve Detection and Management of Gestational Diabetes Through the Primary Health Care Level in Morocco

Improve Detection and Management of Gestational Diabetes Through the Primary Health Care Level in Morocco Improve Detection and Management of Gestational Diabetes Through the Primary Health Care Level in Morocco - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100 (...) ). Please remove one or more studies before adding more. Improve Detection and Management of Gestational Diabetes Through the Primary Health Care Level in Morocco The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02979756 Recruitment Status : Completed First Posted : December 2, 2016 Last Update Posted

2016 Clinical Trials

55. The Gestational Diabetes Management System (GooDMomS): development, feasibility and lessons learned from a patient-informed, web-based pregnancy and postpartum lifestyle intervention. (PubMed)

The Gestational Diabetes Management System (GooDMomS): development, feasibility and lessons learned from a patient-informed, web-based pregnancy and postpartum lifestyle intervention. Gestational diabetes mellitus (GDM) contributes to the epidemic of diabetes and obesity in mothers and their offspring. The primary objective of this pilot study was to: 1) refine the GDM Management System (GooDMomS), a web-based pregnancy and postpartum behavioral intervention and 2) assess the feasibility (...) in the GooDMomS program. Participants received web lessons, self-tracking of weight and glucose, automated feedback and access to a message board for peer support. The primary outcome was feasibility, including recruitment and retention and acceptability. Secondary outcomes included the proportion of women whose gestational weight gain (GWG) was within the Institute of Medicine (IOM) guidelines and who were able to return to their pre-pregnancy weight after delivery.Comments from semi-structured interviews

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2016 BMC Pregnancy and Childbirth

56. Development and Evaluation of a Smartphone Application for Managing Gestational Diabetes Mellitus (PubMed)

Development and Evaluation of a Smartphone Application for Managing Gestational Diabetes Mellitus The purpose of this study was to develop and evaluate an application (app) that provides tailored recommendations based on lifestyle and clinical data entered by the user.Knowledge and functions required for the gestational diabetes mellitus (GDM) management app were extracted from clinical practice guidelines and evaluated through an online survey. Common and tailored recommendations were (...) usefulness score was 5.0 out of 7, respectively.The GDM management knowledge and tailored recommendations obtained in this study could be of help in managing GDM.

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2016 Healthcare informatics research

57. Could gestational diabetes mellitus be managed through dietary bioactive compounds? Current knowledge and future perspectives (PubMed)

Could gestational diabetes mellitus be managed through dietary bioactive compounds? Current knowledge and future perspectives Gestational diabetes mellitus (GDM) is a serious problem growing worldwide that needs to be addressed with urgency in consideration of the resulting severe complications for both mother and fetus. Growing evidence indicates that a healthy diet rich in fruit, vegetables, nuts, extra-virgin olive oil and fish has beneficial effects in both the prevention and management

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2016 The British journal of nutrition

58. Gestational Diabetes Insulin Management Intrapartum

Gestational Diabetes Insulin Management Intrapartum Gestational Diabetes Insulin Management Intrapartum Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer (...) Administration 4 Gestational Diabetes Insulin Management Intrapartum Gestational Diabetes Insulin Management Intrapartum Aka: Gestational Diabetes Insulin Management Intrapartum , Insulin Management in Labor II. Indication in Labor Diet controlled rarely warrants intrapartum management III. Preparation Patient Use only 50% of long acting (e.g. / or / ) on the day of delivery Dilute 25 units Regular in 250 cc Coadminister maintenance fluids at 125 cc/hour IV. Monitoring Intrapartum Fingerstick every 1 to 2

2018 FP Notebook

59. Gestational Diabetes Insulin Management

Gestational Diabetes Insulin Management Gestational Diabetes Insulin Management Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 (...) Gestational Diabetes Insulin Management Gestational Diabetes Insulin Management Aka: Gestational Diabetes Insulin Management , Insulin Management in Pregnancy II. Indication Failed Gastational Diabetes Diet Management III. Protocol: Calculate Ideal Body Weight Start with 100 pounds + 5 pounds per inch over 5 feet Add 30 pounds for pregnancy Convert to Kilograms: Pounds / 2.2 IV. Protocol: Calculate Total Daily Calories Option 1 Calories/day = (in kg) x 35 KCal/kg Option 2 (if BMI > 30 kg/m2) Calories/day

2018 FP Notebook

60. Gestational Diabetes Management

Gestational Diabetes Management Gestational Diabetes Management Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Gestational Diabetes (...) Management Gestational Diabetes Management Aka: Gestational Diabetes Management II. Indications: Gestational Diabetes Abnormal Preexisting III. Monitoring: Blood Glucose Frequency of therapy 4 times daily Diet control s 4 times on 2 days per week Increase monitoring if 2 values/week abnormal Target Levels Before Breakfast or early morning (2-6 am): 60 to 95 mg/dl Before Lunch,Dinner: 60 to 115 mg/dl One hour post prandial goal: under 140 mg/dl Two hour post prandial goal: under 120 mg/dl Check s in early

2018 FP Notebook

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