Titre du document / Document title

Intensified versus conventional management of gestational diabetes. Discussion

Auteur(s) / Author(s)

LANGER O. (Commentateur) ⁽¹⁾ ; RODRIGUEZ D. A. ⁽¹⁾ ; XENAKIS E. M. J. ⁽¹⁾ ; MCFARLAND M. B. ⁽¹⁾ ; BERKUS M. D. ⁽¹⁾ ; ARREDONDO F. ⁽¹⁾ ; COUSTAN D. (Commentateur) ; CHEZ R. (Commentateur) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

⁽¹⁾ Univ. Texas helath sci. cent. San Antonio, dep. obstetrics gynecology, San Antonio TX 78284-7836, ETATS-UNIS

Résumé / Abstract

OBJECTIVE: We tested the hypothesis that intensified management of gestational diabetes mellitus on the basis of stringent glycemic control, verified glucose data, and adherence to an established criterion for insulin initiation results in near normoglycemia control and reduction of adverse outcomes. STUDY DESIGN: A prospective, population-based study compared the effect on perinatal outcome of conventional (n=1316) and intensified (n=1145) management. Group assignment was based on availability of memory-based reflectance meters at entry to the program. A contemporaneous randomized control group (nondiabetic, n=4922) was selected

Revue / Journal Title

American journal of obstetrics and gynecology   ISSN 0002-9378   CODEN AJOGAH 

Source / Source

Congrès
American Gynecological and Obstetrical Society. Annual meeting N^o12, Carlsbad CA , ETATS-UNIS (09/09/1993)
1994, vol. 170, n^o 4, pp. 963-1130 (44 ref.), pp. 1036-1047

Langue / Language

Anglais

Editeur / Publisher

Elsevier, Philadelphia, PA, ETATS-UNIS  (1920) (Revue)

Mots-clés anglais / English Keywords

Diabetes mellitus ; Pregnancy ; Prognosis ; Statistical analysis ; Newborn ; Surveillance ; Strategy ; Female ; Human ; Endocrinopathy ; Newborn diseases ;

Mots-clés français / French Keywords

Diabète ; Gestation ; Pronostic ; Analyse statistique ; Nouveau né ; Surveillance ; Stratégie ; Femelle ; Homme ; Endocrinopathie ; Nouveau né pathologie ;

Mots-clés espagnols / Spanish Keywords

Diabetes ; Gestación ; Pronóstico ; Análisis estadístico ; Recién nacido ; Vigilancia ; Estrategia ; Hembra ; Hombre ; Endocrinopatía ; Recién nacido patología ;

Localisation / Location

INIST-CNRS, Cote INIST : 3053, 35400004525060.0110