2015
DOI: 10.1007/s00125-015-3732-3
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Likelihood of ‘falling through the net’ relates to contemporary prevalence of gestational diabetes

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Cited by 5 publications
(6 citation statements)
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“…As the importance of fasting hyperglycaemia has come to light in this study, we admit that our screening strategy using the 50 g glucose challenge test may miss some women [8], and we are currently reviewing our service data in order to design a better screening protocol. We agree with the closing statements of Ikomi and colleagues [1] about the importance of reviewing contemporary service data to guide ongoing care.…”
Section: Cssupporting
confidence: 74%
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“…As the importance of fasting hyperglycaemia has come to light in this study, we admit that our screening strategy using the 50 g glucose challenge test may miss some women [8], and we are currently reviewing our service data in order to design a better screening protocol. We agree with the closing statements of Ikomi and colleagues [1] about the importance of reviewing contemporary service data to guide ongoing care.…”
Section: Cssupporting
confidence: 74%
“…Caesarean section GDM Gestational diabetes mellitus HAPO Hyperglycaemia and Adverse Pregnancy Outcomes NICE National Institute for Health and Care Excellence To the Editor: We thank Dr Ikomi and colleagues [1] for their letter and supportive comments. It was interesting to hear of your experience in south west Essex and particularly of your successful treatment of women who 'fell through the net' with normalisation of neonatal macrosomia rates.…”
Section: Csmentioning
confidence: 99%
“…In addition to drug treatment, pregnant women in the routine group also cooperated with health education, as follows. 6 Distribute GDM-related health education materials, instruct pregnant women and their family members to read together, and give key explanations for the parts that they cannot understand. GDM-related lectures are held regularly to improve pregnant women's awareness of diseases, improve the predictability of treatment adverse events, and clarify precautions during pregnancy.…”
Section: Intervention Methodsmentioning
confidence: 99%
“…This prompted us to apply Bayesian modelling in generating an estimate of the number of women facing this risk. We reanalysed our previously published OGTT data [28] and this revealed a GDM pre-test probability of 0.182 and a negative likelihood ratio of 0.362 for an isolated normal fasting glucose result <5.1 mmol/l (WHO 2013 diagnostic threshold). These calculations were applied to the 3 steps of Bayes formula and projected a failed detection rate of no greater than 7.4%, if the new guidance were to be adopted [29].…”
Section: Final Follow-upmentioning
confidence: 99%