scholarly journals A Pre-experimental Study to assess the Effectiveness of National Guidelines for Diagnosis and Management of Gestational Diabetes Mellitus (GDM) developed by Ministry of Health and Family Welfare (MoHFW) in terms of Knowledge among Nurse Educators in selected Colleges of Nursing, New Delhi, India

2020 ◽  
Vol 07 (01) ◽  
pp. 2-7
Author(s):  
Deepti Kukreti ◽  
Author(s):  
Majid Valizadeh ◽  
Farhad Hosseinpanah ◽  
Fahimeh Ramezani Tehrani ◽  
Hengameh Abdi ◽  
Ladan Mehran ◽  
...  

Context: Gestational diabetes mellitus (GDM) is an important endocrine disorder in perinatology, associated with several maternal and neonatal complications. Development of national guidelines can inform clinicians, health policymakers, and researchers about the most recent evidence and practical issues of diagnosis and management of GDM. Objectives: We aimed to develop clinical practice guidelines for the diagnosis and management of GDM in Iranian pregnant women. Evidence Acquisition: The Iranian Endocrine Society constituted a task force, consisting of obstetrician-gynecologists, endocrinologists, a clinical nutritionist, a clinical epidemiologist, and a librarian, to review the published literature and propose national guidelines for the diagnosis and management of GDM. The consensus was reached on all recommendations in several group meetings with a majority decision. The evidence and recommendations were graded according to the American College of Physicians’ Guideline Grading System. Results: The proposed guidelines included recommendations for screening, diagnosis, and management of GDM in Iran. Conclusions: By using an evidence-based approach, these national GDM guidelines can address important clinical issues in the diagnosis and management of Iranian women with GDM.


2021 ◽  
Vol 76 (6) ◽  
pp. 367-381
Author(s):  
Ioannis Tsakiridis ◽  
Sonia Giouleka ◽  
Apostolos Mamopoulos ◽  
Anargyros Kourtis ◽  
Apostolos Athanasiadis ◽  
...  

2016 ◽  
Vol 30 (21) ◽  
pp. 2607-2612 ◽  
Author(s):  
Brianne E. Bimson ◽  
Barak M. Rosenn ◽  
Sara A. Morris ◽  
Elizabeth B. Sasso ◽  
Rachelle A. Schwartz ◽  
...  

Author(s):  
Joseph Mussa ◽  
Sara Meltzer ◽  
Rachel Bond ◽  
Natasha Garfield ◽  
Kaberi Dasgupta

Canada’s largest national obstetric and diabetology organizations have recommended various algorithms for the screening of gestational diabetes mellitus (GDM) over the years. Though uniformity across recommendations from clinical practice guidelines (CPGs) is desirable, historically, national guidelines from Diabetes Canada (DC) and the Society of Obstetricians and Gynaecologists of Canada (SOGC) have differed. Lack of consensus has led to variation in screening approaches, rendering precise ascertainment of GDM prevalence challenging. To highlight the reason and level of disparity in Canada, we conducted a scoping review of CPGs released by DC and the SOGC over the last thirty years and distributed a survey on screening practices among Canadian physicians. Earlier CPGs were based on expert opinion, leading to different recommendations from these organizations. However, as a result of the Hyperglycemia and Adverse Pregnancy Outcome (HAPO) study, disparities between DC and the SOGC no longer exist and many Canadian physicians have adopted their recent recommendations. Given that Canadian guidelines now recommend two different screening programs (one step vs. two step), lack of consensus on a single diagnostic threshold continues to exist, resulting in differing estimates of GDM prevalence. Our scoping review highlights these disparities and provides a step forward towards reaching a consensus on one unified threshold.


2018 ◽  
Vol 10 (1) ◽  
pp. 54-60
Author(s):  
Priyankur Roy ◽  
Prabhat Agrawal ◽  
Ruchika Garg ◽  
Ashish Gautam ◽  
Shaheen Hokabaj ◽  
...  

2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
Shanshan Han ◽  
Philippa F. Middleton ◽  
Tanya K. Bubner ◽  
Caroline A. Crowther

Introduction. Little is known about women’s views relating to a diagnosis of borderline gestational diabetes mellitus (GDM) and the subsequent management. This study aimed to explore women’s experiences after being diagnosed with borderline GDM, their attitudes about treatment, and factors important to them for achieving any lifestyle changes.Methods. We conducted face-to-face, semistructured interviews with women diagnosed with borderline GDM.Results. A total of 22 women were interviewed. After a diagnosis of borderline GDM, 14 (64%) women reported not being concerned or worried. Management of borderline GDM was thought by 21 (95%) women to be very important or important. Eighteen (82%) women planned to improve their diet and/or exercise to manage their borderline GDM. The most frequently mentioned enabler for achieving intended lifestyle change was being more motivated to improve the health of their baby and/or themselves (15 women). The most frequent barrier was tiredness and/or being physically unwell (11 women).Conclusions. A diagnosis of borderline GDM caused some concern to one-third of women interviewed. The majority of women believed managing their borderline GDM was important and they planned to improve their lifestyle. Women’s own and their babies’ future health were powerful motivators for lifestyle change.


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