dunbar-whosresponsiblefor-2014.pdf (148.86 kB)
Who's responsible for the care of women during and after a pregnancy affected by gestational diabetes?
journal contribution
posted on 2014-08-04, 00:00 authored by S A Wilkinson, Siew Lim, S Upham, A Pennington, Sharleen O'ReillySharleen O'Reilly, Constantinos Asproloupos, H D McIntyre, James DunbarJames DunbarDespite its increasing incidence and high conferred risk to women and their children, gestational diabetes mellitus (GDM) is managed inconsistently during and after pregnancy due to an absence of a systemic approach to managing these women. New guidelines for GDM testing and diagnosis are based on stronger evidence, but raise concerns about increased workloads and confusion in a landscape of multiple, conflicting guidelines. Postnatal care and long-term preventive measures are particularly fragmented, with no professional group taking responsibility for this crucial role. Clearer guidelines and assistance from existing frameworks, such as the National Gestational Diabetes Register, could enable general practitioners to take ownership of the management of women at risk of type 2 diabetes following GDM, applying the principles of chronic disease management long term.
History
Journal
Medical journal of AustraliaVolume
201Issue
3 SupplPagination
78 - 81Publisher
Australasian Medical Publishing CompanyLocation
Strawberry Hills, NSWPublisher DOI
Link to full text
ISSN
0025-729XeISSN
1326-5377Language
engPublication classification
C1 Refereed article in a scholarly journalCopyright notice
2014, Australasian Medical Publishing CompanyUsage metrics
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No categories selectedKeywords
AustraliaCooperative BehaviorCross-Cultural ComparisonCross-Sectional StudiesDiabetes Mellitus, Type 2Diabetes, GestationalEvidence-Based MedicineFemaleGeneral PracticeGlucose Tolerance TestGuideline AdherenceHumansIncidenceInterdisciplinary CommunicationLife StyleLong-Term CareMass ScreeningPostnatal CarePregnancyPregnancy OutcomePregnancy, High-RiskPrenatal CareScience & TechnologyLife Sciences & BiomedicineMedicine, General & InternalGeneral & Internal MedicineLIFE-STYLEFOLLOW-UPMELLITUSPREVENTIONNUTRITIONCRITERIAHISTORYIMPACTRISKOUTCOMESINTERVENTIONS
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