Gestational diabetes mellitus (GDM), defined as hyperglycemia in pregnancy, is currently diagnosed in approximately 5% of all pregnancies. GDM carries significant perinatal risks including large-for-gestational-age (LGA) infants, shoulder dystocia, preeclampsia, caesarean section, and neonatal hypoglycemia. There is a gradual increase in adverse perinatal outcomes with increasing maternal glycemia at oral glucose tolerance testing (OGTT). The new (2013) WHO criteria propose to lower the fasting threshold for GDM diagnosis in comparison to the old (1999) WHO criteria. It is unclear whether this will lead to improved perinatal outcomes for this group of women with GDM. We hypothesize that intensive GDM treatment of women according to the new (2013) GDM criteria who were considered normal in the old criteria, will result in a reduction in infants with birth weight >90th centile (large for gestational age, LGA) at acceptable costs, in comparison to the old criteria.
Onder documenten --> algemene documenten vind je een excel (TANGO-DM OGTT CHECK) om de waarden in te vullen om te kijken of de patiënt in aanmerking komt
Informatiefilmpje: https://youtu.be/evBskyEYhm0
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