Virginia A. Moyer, MD, MPH; on behalf of the U.S. Preventive Services Task Force (*)
Disclaimer: Recommendations made by the USPSTF are independent of the U.S. government. They should not be construed as an official position of the Agency for Healthcare Research and Quality or the U.S. Department of Health and Human Services.
Financial Support: The USPSTF is an independent, voluntary body. The U.S. Congress mandates that the Agency for Healthcare Research and Quality support the operations of the USPSTF.
Potential Conflicts of Interest: The authors declared that their organization's policy regarding management of conflicts of interest was followed in the development of this clinical guideline. Disclosure forms from USPSTF members can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M13-2905.
Requests for Single Reprints: Reprints are available from the USPSTF Web site (www.uspreventiveservicestaskforce.org).
Moyer VA, on behalf of the U.S. Preventive Services Task Force. Screening for Gestational Diabetes Mellitus: U.S. Preventive Services Task Force Recommendation Statement. Ann Intern Med. 2014;160:414-420. doi: 10.7326/M13-2905
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Published: Ann Intern Med. 2014;160(6):414-420.
Update of the 2008 U.S. Preventive Services Task Force (USPSTF) recommendation on screening for gestational diabetes mellitus (GDM).
The USPSTF reviewed the evidence on the accuracy of screening tests for GDM, the benefits and harms of screening before and after 24 weeks of gestation, and the benefits and harms of treatment in the mother and infant.
This recommendation applies to pregnant women who have not been previously diagnosed with type 1 or 2 diabetes mellitus.
The USPSTF recommends screening for GDM in asymptomatic pregnant women after 24 weeks of gestation. (B recommendation)
The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for GDM in asymptomatic pregnant women before 24 weeks of gestation. (I statement)
Screening for gestational diabetes mellitus: clinical summary of U.S. Preventive Services Task Force recommendation.
GDM = gestational diabetes mellitus.
Appendix Table 1. What the USPSTF Grades Mean and Suggestions for Practice
Appendix Table 2. USPSTF Levels of Certainty Regarding Net Benefit
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Allan R. Glass, M.D.
January 15, 2014
Endocrine Society differs with USPSTF recommendations
I would note that the Endocrine Society has issued a statement (https://www.endocrine.org/news-room/current-press-releases/endocrine-society-recommends-universal-diabetes-testing-at-first-prenatal-visit) in which it takes exception to a USPSTF recommendation regarding screening for gestational diabetes mellitus. Specifically, the Endocrine Society endorses screening at the first prenatal visit (13 weeks or earlier) while USPSTF recommends screening at 24-28 weeks. In addition, the Endocrine Society strongly recommends using a 75 g glucose tolerance test for screening; the USPSTF takes no position on the choice of screening test, although the 50 g glucose challenge is probably most widely used in the U.S.
Cardiology, Coronary Risk Factors, Diabetes, Endocrine and Metabolism, Guidelines.
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