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A correction has been published: N Engl J Med 2008;358(22):2418.

Editorial
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Volume 358:2061-2063 May 8, 2008 Number 19
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Gestational Diabetes — Setting Limits, Exploring Treatments
Jeffrey L. Ecker, M.D., and Michael F. Greene, M.D.

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-PubMed Citation
Pregnancy is associated with relative carbohydrate intolerance and insulin resistance. Gestational diabetes mellitus (carbohydrate intolerance first diagnosed during pregnancy) has long been recognized as a risk factor for a number of adverse outcomes during pregnancy, including excessive fetal growth, an increased incidence of birth trauma and cesarean delivery, and neonatal metabolic abnormalities such as polycythemia, hyperbilirubinemia, and hypoglycemia.1 This recognition has led to recommendations to screen all pregnant women for gestational diabetes mellitus and to treat those whose glucose-tolerance tests exceed threshold criteria.2

The threshold criteria for diagnosing gestational diabetes were initially specified rather arbitrarily as values greater than 2 . . . [Full Text of this Article]


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From Harvard Medical School and Massachusetts General Hospital — both in Boston.


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