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Correspondence
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Volume 334:598-599 February 29, 1996 Number 9
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Blood Glucose Monitoring in Gestational Diabetes Mellitus

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 by de Veciana, M.
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To the Editor: Careful medical management has improved perinatal outcomes among women with diabetes that antedates pregnancy, but the benefits of diagnosing and regulating glucose intolerance that develops during pregnancy are less clear. The study by de Veciana and colleagues (Nov. 9 issue)1 has not persuaded us that tight glucose control affects outcomes of clinical importance in unselected women with gestational diabetes. For example, there was no difference in the overall rates of cesarean delivery in the postprandial- as compared with the preprandial-monitoring group.

Furthermore, the women in this study had unusually high mean plasma glucose values while fasting and . . . [Full Text of this Article]

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