Medical Treatment of the Gestational Diabetic
The outcome of pregnancy in control and treated gestational diabetics was not significantly different. The decreased loss rate among the insulin- and diet-treated gestational diabetics, however, did become significant when the data were reanalyzed with consideration of two important influencing vari...
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| Veröffentlicht in: | Obstetrics and gynecology (New York. 1953) 1974-06, Vol.43 (6), p.817-821 |
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| container_title | Obstetrics and gynecology (New York. 1953) |
| container_volume | 43 |
| creator | OʼSULLIVAN, JOHN B. MAHAN, CLARE M. CHARLES, DAVID DANDROW, ROBERT V. |
| description | The outcome of pregnancy in control and treated gestational diabetics was not significantly different. The decreased loss rate among the insulin- and diet-treated gestational diabetics, however, did become significant when the data were reanalyzed with consideration of two important influencing variables. The high-risk group of gestational diabetics aged 25 years and older who received insulin therapy before the 32nd week of gestation had fewer fetal losses. Documentation of the critical role played by both maternal age and the gestational age at which insulin therapy is commenced now makes the institution of a conclusive prospective study feasible. The adequately established hypothesis that insulin management of gestational diabetics favorably affects the outcome of their pregnancies can then be finally resolved. |
| format | Article |
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The decreased loss rate among the insulin- and diet-treated gestational diabetics, however, did become significant when the data were reanalyzed with consideration of two important influencing variables. The high-risk group of gestational diabetics aged 25 years and older who received insulin therapy before the 32nd week of gestation had fewer fetal losses. Documentation of the critical role played by both maternal age and the gestational age at which insulin therapy is commenced now makes the institution of a conclusive prospective study feasible. The adequately established hypothesis that insulin management of gestational diabetics favorably affects the outcome of their pregnancies can then be finally resolved.</description><identifier>ISSN: 0029-7844</identifier><identifier>EISSN: 1873-233X</identifier><identifier>PMID: 4829275</identifier><language>eng</language><publisher>United States: The American College of Obstetricians and Gynecologists</publisher><subject>Adult ; Blood Glucose - analysis ; Body Weight ; Diabetes Mellitus - drug therapy ; Diabetes Mellitus - therapy ; Diet, Diabetic ; Female ; Fetal Death - etiology ; Gestational Age ; Glucose Tolerance Test ; Humans ; Insulin - administration & dosage ; Insulin - therapeutic use ; Maternal Age ; Pregnancy ; Pregnancy in Diabetics - blood ; Pregnancy in Diabetics - drug therapy ; Pregnancy in Diabetics - therapy ; Prenatal Diagnosis ; Prospective Studies</subject><ispartof>Obstetrics and gynecology (New York. 1953), 1974-06, Vol.43 (6), p.817-821</ispartof><rights>1974 The American College of Obstetricians and Gynecologists</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/4829275$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>OʼSULLIVAN, JOHN B.</creatorcontrib><creatorcontrib>MAHAN, CLARE M.</creatorcontrib><creatorcontrib>CHARLES, DAVID</creatorcontrib><creatorcontrib>DANDROW, ROBERT V.</creatorcontrib><title>Medical Treatment of the Gestational Diabetic</title><title>Obstetrics and gynecology (New York. 1953)</title><addtitle>Obstet Gynecol</addtitle><description>The outcome of pregnancy in control and treated gestational diabetics was not significantly different. The decreased loss rate among the insulin- and diet-treated gestational diabetics, however, did become significant when the data were reanalyzed with consideration of two important influencing variables. The high-risk group of gestational diabetics aged 25 years and older who received insulin therapy before the 32nd week of gestation had fewer fetal losses. Documentation of the critical role played by both maternal age and the gestational age at which insulin therapy is commenced now makes the institution of a conclusive prospective study feasible. The adequately established hypothesis that insulin management of gestational diabetics favorably affects the outcome of their pregnancies can then be finally resolved.</description><subject>Adult</subject><subject>Blood Glucose - analysis</subject><subject>Body Weight</subject><subject>Diabetes Mellitus - drug therapy</subject><subject>Diabetes Mellitus - therapy</subject><subject>Diet, Diabetic</subject><subject>Female</subject><subject>Fetal Death - etiology</subject><subject>Gestational Age</subject><subject>Glucose Tolerance Test</subject><subject>Humans</subject><subject>Insulin - administration & dosage</subject><subject>Insulin - therapeutic use</subject><subject>Maternal Age</subject><subject>Pregnancy</subject><subject>Pregnancy in Diabetics - blood</subject><subject>Pregnancy in Diabetics - drug therapy</subject><subject>Pregnancy in Diabetics - therapy</subject><subject>Prenatal Diagnosis</subject><subject>Prospective Studies</subject><issn>0029-7844</issn><issn>1873-233X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1974</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNotkEFLAzEQhYMotVZ_grAnb4FkkmySo1RthYqXCt6WbHaWrma7dZOl-O-NtKfHzPd4zJsLMudGCwpCfF6SOWNgqTZSXpObGL8YY7y0YkZm0oAFreaEvmHTeReK7Ygu9bhPxdAWaYfFCmNyqRv2GT51rsbU-Vty1boQ8e6sC_Lx8rxdrunmffW6fNzQAyguKThspXYW0DdS1JqB0tYbbLJIJYVHbtB51XrBFastqw2HFhWoBhpfo1iQh1PuYRx-pnxI1XfRYwhuj8MUKwNClaWw2Xh_Nk51j011GLvejb_VuV_m8sSPQ0g4xu8wHXGsduhC2lX5H6wExSi3WrIyT_R_JcUfLjNblQ</recordid><startdate>197406</startdate><enddate>197406</enddate><creator>OʼSULLIVAN, JOHN B.</creator><creator>MAHAN, CLARE M.</creator><creator>CHARLES, DAVID</creator><creator>DANDROW, ROBERT V.</creator><general>The American College of Obstetricians and Gynecologists</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>197406</creationdate><title>Medical Treatment of the Gestational Diabetic</title><author>OʼSULLIVAN, JOHN B. ; MAHAN, CLARE M. ; CHARLES, DAVID ; DANDROW, ROBERT V.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p2514-2aef47a92ecd43b702579c8ed5794543ce18eac5fc3150b90b812fe525d2dcbe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1974</creationdate><topic>Adult</topic><topic>Blood Glucose - analysis</topic><topic>Body Weight</topic><topic>Diabetes Mellitus - drug therapy</topic><topic>Diabetes Mellitus - therapy</topic><topic>Diet, Diabetic</topic><topic>Female</topic><topic>Fetal Death - etiology</topic><topic>Gestational Age</topic><topic>Glucose Tolerance Test</topic><topic>Humans</topic><topic>Insulin - administration & dosage</topic><topic>Insulin - therapeutic use</topic><topic>Maternal Age</topic><topic>Pregnancy</topic><topic>Pregnancy in Diabetics - blood</topic><topic>Pregnancy in Diabetics - drug therapy</topic><topic>Pregnancy in Diabetics - therapy</topic><topic>Prenatal Diagnosis</topic><topic>Prospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>OʼSULLIVAN, JOHN B.</creatorcontrib><creatorcontrib>MAHAN, CLARE M.</creatorcontrib><creatorcontrib>CHARLES, DAVID</creatorcontrib><creatorcontrib>DANDROW, ROBERT V.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>OʼSULLIVAN, JOHN B.</au><au>MAHAN, CLARE M.</au><au>CHARLES, DAVID</au><au>DANDROW, ROBERT V.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Medical Treatment of the Gestational Diabetic</atitle><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle><addtitle>Obstet Gynecol</addtitle><date>1974-06</date><risdate>1974</risdate><volume>43</volume><issue>6</issue><spage>817</spage><epage>821</epage><pages>817-821</pages><issn>0029-7844</issn><eissn>1873-233X</eissn><abstract>The outcome of pregnancy in control and treated gestational diabetics was not significantly different. 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| fulltext | fulltext |
| identifier | ISSN: 0029-7844 |
| ispartof | Obstetrics and gynecology (New York. 1953), 1974-06, Vol.43 (6), p.817-821 |
| issn | 0029-7844 1873-233X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_82356639 |
| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Blood Glucose - analysis Body Weight Diabetes Mellitus - drug therapy Diabetes Mellitus - therapy Diet, Diabetic Female Fetal Death - etiology Gestational Age Glucose Tolerance Test Humans Insulin - administration & dosage Insulin - therapeutic use Maternal Age Pregnancy Pregnancy in Diabetics - blood Pregnancy in Diabetics - drug therapy Pregnancy in Diabetics - therapy Prenatal Diagnosis Prospective Studies |
| title | Medical Treatment of the Gestational Diabetic |
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