Screening and management of gestational diabetes mellitus in Scottish obstetric units: a national survey.

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  • Additional Information
    • Source:
      Publisher: Sage Country of Publication: Scotland NLM ID: 2983335R Publication Model: Print-Electronic Cited Medium: Internet ISSN: 0036-9330 (Print) Linking ISSN: 00369330 NLM ISO Abbreviation: Scott Med J Subsets: MEDLINE
    • Publication Information:
      Publication: Feb. 2013- : London : Sage
      Original Publication: Edinburgh : Longman Group
    • Subject Terms:
      Diabetes, Gestational/*diagnosis ; Diabetes, Gestational/*therapy ; Hyperglycemia/*diagnosis ; Mass Screening/*organization & administration; Adult ; Diabetes, Gestational/epidemiology ; Fasting ; Female ; Guideline Adherence ; Humans ; Hyperglycemia/epidemiology ; Mass Screening/statistics & numerical data ; Practice Guidelines as Topic ; Practice Patterns, Physicians' ; Pregnancy ; Prevalence ; Risk Factors ; Scotland/epidemiology ; Surveys and Questionnaires
    • Abstract:
      Background and Aims: The last study of screening practices for gestational diabetes (GDM) in the UK concluded that a lack of consensus about screening was due to a lack of clinical guidelines. We aimed to determine current practices in Scotland since new guidelines recommended that diagnosis should be made at a lower level of hyperglycaemia.
      Method and Results: An online questionnaire designed to investigate the screening and management of GDM was distributed to all maternity units in Scotland managing women with GDM (n = 15) for completion by relevant clinical team members. The response rate was 100%. Considerable variation in clinical practice existed between units. Thirteen units (86.7%) had adopted the lower glucose tolerance values for diagnosis of GDM (fasting ≥5.1 mmol/L; 2-h ≥8.5 mmol/L) recommended by the Scottish Intercollegiate Guidelines Network in 2010. Available data from units using this guideline (n = 3) revealed a significant increase in the percentage of women diagnosed with GDM between 2010 and 2012 (2010: 1.28%, 2012: 2.54%; p < 0.0001).
      Conclusion: Despite provision of clinical guidelines, there are still inconsistencies in screening and management of GDM in Scotland. If a similar increase in the prevalence of GDM is experienced across Scotland, there will be major implications for health care provision and resource allocation.
      (© The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.)
    • Grant Information:
      CZG/2/478 United Kingdom CSO_ Chief Scientist Office; United Kingdom BHF_ British Heart Foundation
    • Contributed Indexing:
      Keywords: Gestational diabetes; management; pregnancy; screening
    • Publication Date:
      Date Created: 20141206 Date Completed: 20151221 Latest Revision: 20220310
    • Publication Date:
      20231215
    • Accession Number:
      10.1177/0036933014563458
    • Accession Number:
      25475973