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A comparison of glyburide and insulin in women with gestational diabetes mellitus. 11036118 2000 10 19 2000 10 19 2013 11 21 0028-4793 343 16 2000 Oct 19 The New England journal of medicine N. Engl. J. Med. A comparison of glyburide and insulin in women with gestational diabetes mellitus. 1134-8 Women with gestational diabetes mellitus are rarely treated with a sulfonylurea drug, because of concern about teratogenicity and neonatal hypoglycemia. There is little information about the efficacy (...) of these drugs in this group of women. We studied 404 women with singleton pregnancies and gestational diabetes that required treatment. The women were randomly assigned between 11 and 33 weeks of gestation to receive glyburide or insulin according to an intensified treatment protocol. The primary end point was achievement of the desired level of glycemic control. Secondary end points included maternal and neonatal complications. The mean (+/-SD) pretreatment blood glucose concentration as measured at home

Dietary regulation for 'gestational diabetes'. BACKGROUND: Impaired glucose metabolism in pregnancy may be associated with adverse pregnancy outcomes. Primary dietary therapy is used in the management of diabetes, including gestational diabetes. OBJECTIVES: The objective of this review was to assess the effects of primary dietary therapy in women identified as having gestational diabetes on fetal growth and neonatal outcomes. SEARCH STRATEGY: I searched the Cochrane Pregnancy and Childbirth

Managed care does not lower costs but may result in poorer outcomes for patients with gestational diabetes Managed care does not lower costs but may result in poorer outcomes for patients with gestational diabetes Managed care does not lower costs but may result in poorer outcomes for patients with gestational diabetes Bienstock J L, Blakemore K J, Wang E, Presser D, Misra D, Pressman E K Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion (...) on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology Management of gestational diabetes; Female genital diseases and pregnancy complications. Type of intervention Primary prevention and secondary prevention. Economic study type Cost-effectiveness analysis. Study population Patients with diagnosed gestational diabetes. Setting Primary

Postprandial versus preprandial blood glucose monitoring in women with gestational diabetes mellitus requiring insulin therapy. 7565999 1995 11 09 1995 11 09 2011 11 17 0028-4793 333 19 1995 Nov 09 The New England journal of medicine N. Engl. J. Med. Postprandial versus preprandial blood glucose monitoring in women with gestational diabetes mellitus requiring insulin therapy. 1237-41 The fetuses of women with gestational diabetes mellitus are at risk for macrosomia and its attendant (...) complications. The best method of achieving euglycemia in these women and reducing morbidity in their infants is not known. We compared the efficacy of postprandial and preprandial monitoring in achieving glycemic control in women with gestational diabetes. We studied 66 women with gestational diabetes mellitus who required insulin therapy at 30 weeks of gestation or earlier. The women were randomly assigned to have their diabetes managed according to the results of preprandial monitoring or postprandial