Likelihood of ‘falling through the net’ relates to contemporary prevalence of gestational diabetes

Ikomi, Amaju; Mannan, S; Anthony, R; Kiss, S

doi:10.1007/s00125-015-3732-3

Cited by 5 publications

(6 citation statements)

References 3 publications

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“…As the importance of fasting hyperglycaemia has come to light in this study, we admit that our screening strategy using the 50 g glucose challenge test may miss some women [8], and we are currently reviewing our service data in order to design a better screening protocol. We agree with the closing statements of Ikomi and colleagues [1] about the importance of reviewing contemporary service data to guide ongoing care.…”

Section: Cssupporting

confidence: 74%

“…Caesarean section GDM Gestational diabetes mellitus HAPO Hyperglycaemia and Adverse Pregnancy Outcomes NICE National Institute for Health and Care Excellence To the Editor: We thank Dr Ikomi and colleagues [1] for their letter and supportive comments. It was interesting to hear of your experience in south west Essex and particularly of your successful treatment of women who 'fell through the net' with normalisation of neonatal macrosomia rates.…”

Section: Csmentioning

confidence: 99%

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Likelihood of ‘falling through the net’ relates to contemporary prevalence of gestational diabetes. Reply to Ikomi A, Mannan S, Anthony R, Kiss S [letter]

et al. 2015

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Section: Cssupporting

confidence: 74%

Section: Csmentioning

confidence: 99%

Likelihood of ‘falling through the net’ relates to contemporary prevalence of gestational diabetes. Reply to Ikomi A, Mannan S, Anthony R, Kiss S [letter]

et al. 2015

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“…In addition to drug treatment, pregnant women in the routine group also cooperated with health education, as follows. 6 Distribute GDM-related health education materials, instruct pregnant women and their family members to read together, and give key explanations for the parts that they cannot understand. GDM-related lectures are held regularly to improve pregnant women's awareness of diseases, improve the predictability of treatment adverse events, and clarify precautions during pregnancy.…”

Section: Intervention Methodsmentioning

confidence: 99%

Effect of Aerobic Exercise on Limb Motor Function in Diabetic Patients

Wang

2022

Rev Bras Med Esporte

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Introduction: Gestational Diabetes is a group of metabolic disorders that result in glucose intolerance during pregnancy. Among the range of treatments are diet, continuous use of medication, and psychological monitoring. Since it is a multidisciplinary treatment, a proper protocol is vital for a favorable outcome. In addition, there are questions about the benefits of physical activity as a complementary therapy. Objective: To verify the impact of adding exercise to the hospital protocol for patients with gestational diabetes, both on the risks of type 2 diabetes in pregnant women and on the obesity of their offspring. Methods: Sixty pregnant women diagnosed with Gestational Diabetes were randomly divided into control and intervention groups. Both groups received specific treatment and intervention, and the experimental group practiced controlled moderate-intensity physical activity (125-146bpm). Morning blood samples were collected from both groups to check fasting glucose and insulin levels, indicators of lipid metabolism, low and high-density lipoprotein cholesterol, apolipoprotein B. The Brog scale measured the fatigue level. In addition, the premature rupture of membranes, postpartum hemorrhage, neonatal asphyxia, macrosomia, and others was checked. Results: The peripheral blood total cholesterol levels were 5.93, 5. 38, low-density lipoprotein cholesterol levels were 2.95 before versus 2.64 after, and apolipoprotein B levels were 1.84 versus 1.59 in the control group, high-density lipoprotein cholesterol content increased from 1.74 to 1.88, blood cholesterol, and apolipoprotein B levels after the intervention in the experimental group were lower than those in the control group, with an elevation of high-density lipoprotein cholesterol. Conclusion: Aerobic exercise proved to be more appropriate for patients with gestational diabetes in the later stages of pregnancy and may also be adapted for bedridden patients refractory to traditional drugs. Evidence Level II; Therapeutic Studies - Investigating the result.

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“…This prompted us to apply Bayesian modelling in generating an estimate of the number of women facing this risk. We reanalysed our previously published OGTT data [28] and this revealed a GDM pre-test probability of 0.182 and a negative likelihood ratio of 0.362 for an isolated normal fasting glucose result <5.1 mmol/l (WHO 2013 diagnostic threshold). These calculations were applied to the 3 steps of Bayes formula and projected a failed detection rate of no greater than 7.4%, if the new guidance were to be adopted [29].…”

Section: Final Follow-upmentioning

confidence: 99%

The Good Pregnancy Network: An Alternative Approach for Gestational Diabetes

Ikomi¹,

Mannan²

2022

Preprint

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Basildon and Thurrock University Hospital in the East of England region of the United Kingdom (U.K), witnessed rapidly increasing numbers of pregnant women with diabetes, causing overburdened specialist clinics, poorer patient experience and worsening clinical outcomes. This prompted the multidisciplinary team’s remodelling of care pathways, launching the General ownership of Diabetes (GooD) Pregnancy Network in 2014. Contrary to conventional limitation of care to specialist diabetes antenatal clinics, this novel initiative highlights contemporary necessity to equip and empower all maternity stakeholders to deliver basic care of gestational diabetes (GDM). It strategically connects a Midwife Tele-Clinic “hub” to Educating Gestational diabetics Group Sessions (EGGS) and standard antenatal clinics. Patients were key partners, regularly participating in feedback surveys and promoting public awareness by co-producing local newspaper articles that served up their stories as case studies. Furthermore, the EGGS “faculty” includes a former GDM patient whose video testimony has inspired almost 2000 patients and their families; aiming to foster long term healthy lifestyle changes. Final summative evaluation in November 2019 showed the new culture of wider consciousness has shortened ‘diagnosis to first consultation’ intervals and eliminated overbooked specialist clinics (none since January 2016), without further worsening of clinical outcomes. It also boosted research recruitment and avoided additional running costs to the tune of £66,384 a year.

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Likelihood of ‘falling through the net’ relates to contemporary prevalence of gestational diabetes

Cited by 5 publications

References 3 publications

Likelihood of ‘falling through the net’ relates to contemporary prevalence of gestational diabetes. Reply to Ikomi A, Mannan S, Anthony R, Kiss S [letter]

Likelihood of ‘falling through the net’ relates to contemporary prevalence of gestational diabetes. Reply to Ikomi A, Mannan S, Anthony R, Kiss S [letter]

Effect of Aerobic Exercise on Limb Motor Function in Diabetic Patients

The Good Pregnancy Network: An Alternative Approach for Gestational Diabetes

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