Abstract
To the Editor.— Comments by Dr Halverson 1 emphasize the involvement of family physicians in the delivery of obstetrical care. Gestational diabetes is an important condition, and I appreciate the overview of the Second International Workshop-Conference on Gestational Diabetes. 2 A conjoint agreement between the American Academy of Family Physicians and the American College of Obstetrics and Gynecology was established in 1977. 3 Nevertheless, the sponsoring societies of the International Workshop included no representation from family practice. As a family physician who provides obstetrical care, I would like to state our group's policy regarding insulin initiation during pregnancy. We have noted the theoretical risk of insulin antibody formation by conventional insulin preparations. 4 We assume that a significant number of pregnant patients who require insulin will not maintain this requirement post partum. For this reason we have recommended the substance most likely to reduce the formation of insulin antibodies, 5
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