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ENDOCRINOLOGY IN THE TIME OF COVID-19: Diagnosis and management of gestational diabetes mellitus
Thangaratinam, Shakila Cooray, Shamil D Sukumar, Nithya Huda, Mohammed S B Devlieger, Roland Benhalima, Katrien McAuliffe, Fionnuala Saravanan, Ponnusamy
Teede, Helena J
Thangaratinam, Shakila
Cooray, Shamil D
Sukumar, Nithya
Huda, Mohammed S B
Devlieger, Roland
Benhalima, Katrien
McAuliffe, Fionnuala
Teede, Helena J
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University of Birmingham; Birmingham Women's and Children's NHS Foundation Trust; Monash University; University of Warwick; Barts Health NHS Trust; University Hospitals Leuven; KU Leuven; University College Dublin; George Eliot Hospital
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2020-08-01
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Abstract
The COVID-19 pandemic has required rapid transformation and adaptation of healthcare services. Women with gestational diabetes mellitus (GDM) are one of the largest high-risk groups accessing antenatal care. In reformulating the care offered to those with GDM, there is a need to balance the sometimes competing requirement of lowering the risk of direct viral transmission against the potential adverse impact of service changes. We suggest pragmatic options for screening of GDM in a pandemic setting based on blood tests, and risk calculators applied to underlying risk factors. Alternative models for antenatal care provision for women with GDM, including targeting high-risk groups, early lifestyle interventions and remote monitoring are provided. Testing options and their timing for postpartum screening in women who had GDM are also considered. Our suggestions are only applicable in a pandemic scenario, and usual guidelines and care pathways should be re-implemented as soon as possible and appropriate.
Citation
Thangaratinam S, Cooray SD, Sukumar N, Huda MSB, Devlieger R, Benhalima K, McAuliffe F, Saravanan P, Teede HJ. ENDOCRINOLOGY IN THE TIME OF COVID-19: Diagnosis and management of gestational diabetes mellitus. Eur J Endocrinol. 2020 Aug;183(2):G49-G56. doi: 10.1530/EJE-20-0401. PMID: 32454456; PMCID: PMC7938017.
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