A Randomized Controlled Trial Using Glycemic Plus Fetal Ultrasound Parameters Versus Glycemic Parameters to Determine Insulin Therapy in Gestational Diabetes With Fasting Hyperglycemia
- Apolonia García-Patterson, MD1,
- Rosa Corcoy, PHD1,
- Montse Balsells, MD1,
- Orenci Altirriba, PHD2,
- Juan María Adelantado, PHD3,
- Lluís Cabero, PHD3 and
- Alberto de Leiva, PHD1
- 1Department of Endocrinology and Nutrition, Hospital de Sant Pau, Barcelona, Spain
- 2Department of Pediatrics, Hospital de Sant Pau, Barcelona, Spain
- 3Department of Obstetrics and Gynecology, Hospital de Sant Pau, Barcelona, Spain
We read with interest the paper from Kjos et al. (1) exploring the usefulness of an approach to the management of gestational diabetes mellitus (GDM) that takes into account not only maternal glycemic parameters but also ultrasound information of fetal growth. The rationale behind this approach is that due to (unmeasurable) differences in nutrient placental transport, only …
