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[No unified guidelines concerning gestational diabetes in Sweden. Noticeable differences between screening, diagnostics and management in maternal health services]

Journal article
Authors Margareta Persson
Anna Winkvist
Ingrid Mogren
Published in Läkartidningen
Volume 104
Issue 45
Pages 3365-9
ISSN 0023-7205
Publication year 2007
Published at Institute of Medicine, Department of Clinical Nutrition
Pages 3365-9
Language sv
Links www.ncbi.nlm.nih.gov/entrez/query.f...
Keywords Diabetes, Gestational, diagnosis, epidemiology, therapy, Female, Glucose Tolerance Test, Humans, Mass Screening, Maternal Health Services, Practice Guidelines as Topic, Pregnancy, Prevalence, Reference Values, Risk Factors, Sweden, epidemiology
Subject categories Public health medicine research areas

Abstract

In Sweden, there are noticeable differences between the antenatal health care settings concerning the prevalence of oral glucose tolerance tests (OGTT) to detect gestational diabetes mellitus (GDM). Clinical guidelines for screening, diagnostics and treatment of GDM 2004 were collected from all antenatal health care areas (n=50, 100% of eligible areas) in Sweden. The guidelines were analysed in relation to the available national statistics. The most prominent finding was that there was no consensus on screening, diagnosis and treatment of GDM. In most areas, the well-known risk factors for GDM were used as the criteria for offering OGTT to pregnant women. However, some areas offered OGTT to all pregnant women, resulting in a significantly greater detection of GDM. Hence, it is likely that the reported prevalence of GDM in Sweden is an underestimate. We suggest that national guidelines for screening, diagnosis and treatment of GDM should be developed in order to better fulfil the intentions of the Swedish National Board of Health and Welfare.

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