Commentary: Controversies in management of diabetes from preconception to the postnatal period
Chappell and Germain comment on the National Institute for Health and Clinical Excellence 's (NICE) new guidelines regarding on the management of diabetes from preconception to the postnatal period. They opine that the recommendation that screening for gestational diabetes should be by clinical...
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Veröffentlicht in: | BMJ 2008-03, Vol.336 (7646), p.717-718 |
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description | Chappell and Germain comment on the National Institute for Health and Clinical Excellence 's (NICE) new guidelines regarding on the management of diabetes from preconception to the postnatal period. They opine that the recommendation that screening for gestational diabetes should be by clinical risk factor alone is more controversial. The authors acknowledge the poor sensitivity and specificity of this approach compared with universal administration of oral glucose tolerance tests. Despite of this, NICE recommendations will prove beneficial in ensuring that women with pre-existing or gestational diabetes receive comprehensive care that aims to minimize risks to mother and baby. |
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Despite of this, NICE recommendations will prove beneficial in ensuring that women with pre-existing or gestational diabetes receive comprehensive care that aims to minimize risks to mother and baby.</description><subject>Diabetes</subject><subject>Diabetes Complications - complications</subject><subject>Diabetes Complications - therapy</subject><subject>Endocrinology</subject><subject>Female</subject><subject>Gestational diabetes</subject><subject>Guidelines</subject><subject>Health care</subject><subject>Humans</subject><subject>Postnatal Care - methods</subject><subject>Practice</subject><subject>Practice Guidelines as Topic</subject><subject>Preconception Care - methods</subject><subject>Pregnancy</subject><subject>Pregnancy in diabetics</subject><subject>Pregnancy in Diabetics - therapy</subject><subject>Pregnancy Outcome</subject><subject>Prenatal care</subject><subject>Prenatal Care - methods</subject><subject>Recommendations</subject><subject>Type 1 diabetes mellitus</subject><subject>Type 2 diabetes mellitus</subject><subject>Womens health</subject><issn>0959-8138</issn><issn>0959-8146</issn><issn>1468-5833</issn><issn>1756-1833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkUuLFDEURoMoTtPOLxAlKLirMo_Ko1wMNEU7Ko0ufODKkKpKzaTtSsokPei_n7TVtA8QXN3Fd-7lXD4AHmJUYkz583bclrRmWJYcM8RkuVrfAQtccVkwSeldsEA1qwuJqTwD5zFuEUKECllzdh-cYUl5TYhcgC-NH0fjkg4_XsDGuxT8jQnRmgitg6N2-soccugH2FvdmpSTIfgRTsF03nVmStY7mDxM1wZOPiank97ByQTr-wfg3qB30Zwf5xJ8fLn-0LwqNu8uXzerTdEyJlLRC605aznJfr0wjHYIG0l63sqKcc1rPmgs5VCzjtZVNyDNCG416xHHklFCl-Bivjvt29H0XTYOeqemYMf8mfLaqj8TZ6_Vlb9RhAhOeJUPPDseCP7b3sSkRhs7s9tpZ_w-KoGqqsoeGXzyF7j1--Dyc4qgClHMCM3Q039BWAiJcmW5xSWgM9UFH2Mww8kXI3VoWeWW1c-W1dyyWq3z1uPfX_21c-w0A49mYBuTD6ecIIZqmg2XoJhzG5P5fsp1-Kq4oIKpt58ahT5X7I3YEPU-8-XMH2z-x_AWOUbKwQ</recordid><startdate>20080329</startdate><enddate>20080329</enddate><creator>Chappell, Lucy C</creator><creator>Germain, Sarah J</creator><general>British Medical Journal Publishing Group</general><general>British Medical Association</general><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><general>BMJ Publishing Group Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88I</scope><scope>8AF</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K6X</scope><scope>K9.</scope><scope>LK8</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7QJ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20080329</creationdate><title>Commentary: Controversies in management of diabetes from preconception to the postnatal period</title><author>Chappell, Lucy C ; 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subjects | Diabetes Diabetes Complications - complications Diabetes Complications - therapy Endocrinology Female Gestational diabetes Guidelines Health care Humans Postnatal Care - methods Practice Practice Guidelines as Topic Preconception Care - methods Pregnancy Pregnancy in diabetics Pregnancy in Diabetics - therapy Pregnancy Outcome Prenatal care Prenatal Care - methods Recommendations Type 1 diabetes mellitus Type 2 diabetes mellitus Womens health |
title | Commentary: Controversies in management of diabetes from preconception to the postnatal period |
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