naa a22 4500 510779212 CHVBK 20180411083241.0 cr unu---uuuuu 180411e20130201xx s 000 0 eng 10.1007/s11892-012-0330-3 doi (NATIONALLICENCE)springer-10.1007/s11892-012-0330-3 Establishing Consensus in the Diagnosis of Gestational Diabetes Following HAPO: Where Do We Stand? [Elektronische Daten] [Hélène Long, Tim Cundy] New proposals for the diagnosis of gestational diabetes (GDM), promulgated by the International Association of Diabetes and Pregnancy Study Groups (IADPSG), will substantially increase the number of women diagnosed with GDM. This will have an enormous impact on healthcare resources, diverting attention away from genuinely high risk diabetic pregnancies. Randomized trials in ‘mild' GDM indicate that the main effects of treatment are a 2%-3% reduction in birth weight, fewer ‘big babies', and less shoulder dystocia. However, these studies used different diagnostic criteria, and women diagnosed by the broader IADPSG criteria may not derive the same modest benefit. Modeling indicates a very high cost per QALY, unless later development of type 2 diabetes can be prevented. Far from producing consensus, the IADPSG suggestion has thrown sharply into focus the need to assess critically the risks, costs and benefits of adopting criteria that may pathologize a large number of otherwise normal pregnancies. Springer Science+Business Media New York, 2012 Gestational diabetes nationallicence Diagnostic criteria nationallicence Risks and benefits nationallicence Clinical trials nationallicence HAPO nationallicence Long Hélène Division of Endocrinology and Metabolism, Department of Medicine, Laval Health and Social Services Center, Laval, Québec, Canada aut Cundy Tim Department of Medicine, Faculty of Medical and Health Sciences, University of Auckland, Private Bag 92019, Auckland Mail Centre, Auckland, New Zealand aut Current Diabetes Reports Current Science Inc. 13/1(2013-02-01), 43-50 1534-4827 13:1<43 2013 13 11892 https://doi.org/10.1007/s11892-012-0330-3 text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11892-012-0330-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Long Hélène Division of Endocrinology and Metabolism, Department of Medicine, Laval Health and Social Services Center, Laval, Québec, Canada aut NATIONALLICENCE 700 1- Cundy Tim Department of Medicine, Faculty of Medical and Health Sciences, University of Auckland, Private Bag 92019, Auckland Mail Centre, Auckland, New Zealand aut NATIONALLICENCE 773 0- Current Diabetes Reports Current Science Inc 13/1(2013-02-01), 43-50 1534-4827 13:1<43 2013 13 11892 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer