Primary, Secondary, and Tertiary Prevention Program for Diabetes in Pregnancy

  1. Oded Langer, MD
  1. Department of Epidemiology and Social Medicine and the Department of Obstetrics and Gynecology, Albert Einstein College of Medicine Bronx, New York
  1. Address correspondence and reprint requests to Dr. Roger Mazze, Diabetes Research and Training Center, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY 10461.


Over the past 2 yr the effectiveness of a program in primary, secondary, and tertiary prevention of diabetes in pregnancy was studied. The purpose of the program was to determine the degree to which preventive medicine in terms of early screening and diagnosis, rapid initiation of treatment, and close follow-up surveillance could reduce the morbidity and mortality associated with pregestational and gestational diabetes. The study compared the program in prevention with previous programs, and its results were measured against national criteria established by the Centers for Disease Control. A significant increase in early identification of gestational diabetes and a decrease in fetal and maternal complications were detected.

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