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Opportunity Screening for Early Detection of Gestational Diabetes: Results from the MERGD Study.


ABSTRACT: Background: The definitions and approaches used to diagnose gestational diabetes (GD) are varied. The two-step approach recommended by the American College of Obstetricians and Gynecologists (ACOG) combines the sensitivity of a glucose challenge test (GCT) with the specificity of a 3-hour oral glucose tolerance test (OGTT). We investigated if minor modification of the two-step procedure can provide improved detection of GD by identifying a risk group of pregnant women with high risk of GD. Methods: We conducted a prospective cohort study of pregnant women enrolled early during pregnancy and followed till delivery. All participants underwent the ACOG-recommended two-step procedure for GD diagnosis. Based on GCT and OGTT results, the participants were divided into four risk gro

SUBMITTER: Mamtani M 

PROVIDER: S-EPMC12565406 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature