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Correspondence
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Volume 342:896-897 March 23, 2000 Number 12
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Gestational Diabetes

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 by Kjos, S. L.
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To the Editor: Screening for and treatment of gestational diabetes mellitus remain matters of considerable debate, yet Kjos and Buchanan convey no sense of this controversy in their recent review (Dec. 2 issue).1 That some pregnancies involve more marked alterations in glucose metabolism than others is certain. Whether the detection and treatment of these outlier cases results in improved maternal or neonatal outcomes is less clear.

Kjos and Buchanan provide no outcome data from appropriately designed trials indicating that there is a benefit to intervention in pregnancies complicated by gestational diabetes. To be fair, they cannot discuss such data because . . . [Full Text of this Article]

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