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Correspondence
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Volume 353:1629-1630 October 13, 2005 Number 15
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Treatment of Gestational Diabetes Mellitus

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 by Crowther, C. A.
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To the Editor: Crowther and colleagues ( June 16 issue)1 conclude that treatment of gestational diabetes mellitus reduces serious perinatal morbidity. However, we have some reservations.

For one, blood glucose monitoring and more attentive care of the subjects in the intervention group may have resulted in better outcomes, irrespective of insulin treatment. In addition, the incidence of postdate births was higher in the routine-care group; a postdate birth by itself carries a worse fetal prognosis than does delivery at 38 to 40 weeks of gestation.

Information on the degree of adherence of the intervention group to the study protocol (e.g., . . . [Full Text of this Article]


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