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Chapter-08 Glycemic Goals and Monitoring Methods in Gestational Diabetes

BOOK TITLE: Clinical Guidelines for Management of Diabetes in Pregnancy

Author
1. Prakash Anupam
ISBN
9789352703951
DOI
10.5005/jp/books/18049_9
Edition
1/e
Publishing Year
2018
Pages
10
Author Affiliations
1. Lady Hardinge Medical College and Smt. Sucheta Kriplani Hospital, New Delhi, India, Lady Hardinge Medical College and SK Hospital, New Delhi, Lady Hardinge Medical College and SSK Hospital, New Delhi, India, Lady Hardinge Medical College, New Delhi, India, Lady Hardinge Medical College and Smt Sucheta Kriplani Hospital, New Delhi, India
Chapter keywords
Glycemic goal, monitoring method, gestational diabetes mellitus, GDM, hyperglycemia, urine sugar testing, blood glucose, A1c testing

Abstract

This chapter focuses on glycemic goals and monitoring methods in gestational diabetes. Hyperglycemia in gestational diabetes mellitus is detrimental to the fetus as well as the mother. Gestational diabetes mellitus is now an established risk factor for future development of diabetes in the mother. The glycemic targets in gestational diabetes mellitus are based on recommendations from the Fifth International Workshop—Conference on Gestational Diabetes Mellitus. Several monitoring methods can be employed to check for plasma sugar values, in order to take appropriate measures to effectively control glycemia. These include testing for blood glucose (venous blood samples in laboratory, or bedside glucometer-based testing), urine sugar testing, A1c testing, and some novel minimally invasive or noninvasive methods.

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