Abstract
The implementation of screening for gestational diabetes (GDM) in the German Prenatal Care guidelines of 2012 and the publication of numerous new studies have led to clinically relevant changes in the care of pregnant women with GDM to whom consideration was given in the new S3 Guideline on the Diagnosis, Management and Follow-up of Gestational Diabetes (AWMF 057/008) published in March this year. Certain aspects are addressed and discussed on the basis of additional background information.
Highlights
The implementation of screening for gestational diabetes (GDM) in the German Prenatal Care guidelines of 2012 and the publication of numerous new studies have led to clinically relevant changes in the care of pregnant women with GDM to whom consideration was given in the new S3 Guideline on the Diagnosis, Management and Follow-up of Gestational Diabetes (AWMF 057/008) published in March this year
The implementation of general screening for gestational diabetes (GDM) in the German prenatal guidelines of 2012 and the publication of numerous new studies have led to clinically relevant changes in the care of pregnant women with GDM to whom consideration was given in the new S3 Guideline on the Diagnosis, Management and Follow-up of Gestational Diabetes (AWMF 057/ 008) published in March this year
When caring for pregnant women the premise should remain: “as little intervention as possible, limited to a decision-relevant minimum”. This applies to the frequency of blood glucose monitoring, assessment of blood glucose in the overall context, and the strict indication for insulin therapy
Summary
The implementation of general screening for gestational diabetes (GDM) in the German prenatal guidelines of 2012 and the publication of numerous new studies have led to clinically relevant changes in the care of pregnant women with GDM to whom consideration was given in the new S3 Guideline on the Diagnosis, Management and Follow-up of Gestational Diabetes (AWMF 057/ 008) published in March this year. ▶ Table 1 Sensitivity and specificity of the 50 g screening test for identifying pregnant women at risk of GDM using different limits; 1583 pregnant women underwent a 50 g test at GW 24–28 followed by a 75 g OGTT, irrespective of the outcome of the 50 g test [3].
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