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Diabetes Care 27:1848, 2004
© 2004 by the American Diabetes Association, Inc.


Letters: Comments and Responses

A Randomized Trial Evaluating a Predominantly Fetal Growth–Based Strategy to Guide Management of Gestational Diabetes in Caucasian Women

Response to Schaefer-Graf et al.

Stephanie A. Amiel, BSC, MD, FRCP1 and Maggie Blott, FRCOG2

1 Department of Diabetes, King’s College Hospital, London, U.K
2 Royal Victoria Infirmary, Newcastle upon Tyne, U.K

Address correspondence to Prof. S.A. Amiel, BSc, MD, FRCP, King’s College, Denmark Hill Campus, New Medical School Building, Bessemer Road, London SE5 9PJ, U.K. E-mail: stephanie.amiel@kcl.ac.uk

The first 20% of the full text of this article appears below.

Schaefer-Graf et al. (1) rightly suggest that the management of women with gestational diabetes mellitus (GDM) should be based on more than glycemic factors alone. However, the study in which they conclude that strict glycemic control is not useful in the absence of the measurements of fetal overgrowth has two unusual features.

The authors’ criteria for diagnosing GDM are lower than those of the World Health Organization or the American Diabetes Association, and they may be including women who could be considered normal. This is supported by . . . [Full Text of this Article]


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Copyright © 2004 by the American Diabetes Association.