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ACP Journal Club |19 January 2010

Treatment of mild gestational diabetes did not prevent neonatal complications but reduced fetal overgrowth

Denice Feig, MD

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Landon MB, Spong CY, Thom E, et al. A multicenter, randomized trial of treatment for mild gestational diabetes. N Engl J Med. 2009;361:1339-48. 19797280

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Endocrinology:

There has been much controversy over the years about the benefits of treating GDM. The randomized Australian Carbohydrate Intolerance Study in Pregnant Women (ACHOIS) showed a reduction in a composite of serious neonatal outcomes in infants born to women who were treated for GDM (1). However, the difference was driven by a reduction in shoulder dystocia, considered by some researchers to be an intermediate outcome.
The randomized trial by Landon and colleagues is...
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Feig D. Treatment of mild gestational diabetes did not prevent neonatal complications but reduced fetal overgrowth. Ann Intern Med. 2010;152:JC1–6. doi: 10.7326/0003-4819-152-2-201001190-02006

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Published: Ann Intern Med. 2010;152(2):JC1-6.

DOI: 10.7326/0003-4819-152-2-201001190-02006

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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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