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Higher compliance in every other day blood glucose testing

11 Oct 2017
There is a direct relation between ambient temperature and the prevalence of GDM.

Blood glucose testing every other day in patients with controlled gestational diabetes mellitus (GDM) resulted in higher testing compliance than every day testing, a new study has shown.

In contrast, the two testing schedules produced no difference in birth weight, gestational age at delivery, need for medical treatment and other clinical parameters.

The investigators randomized 293 pregnant women with GDM to be tested for blood glucose either every day (n=149; mean maternal age 29.5±4.9 years) or every other day (n=144; mean maternal age 30.7±5.2 years) for the remainder of the pregnancy.

For the primary outcome, there was no significant difference between the two groups in terms of birthweight (mean difference, -41; 90 percent CI, -137 to 54; p=0.48). The upper bound of the CI was below the specified value of 165 g, indicating that every other day testing was noninferior to every day testing.

The compliance to average weekly (88.8 vs 91.8 percent; p<0.01) and entire pregnancy (90.0 vs 91.3 percent; p=0.01) blood glucose testing was significantly higher in patients who were tested every other day as opposed to those who were tested every day.

In contrast, none of the other postrandomization factors showed significant differences. In particular, the need for medical treatment (relative risk [RR], 1.47; 95 percent CI, 0.96 to 2.24) and antenatal steroid administration (RR, 5.10; s0.60 to 43.2) was similar between groups.

There were also no differences in obstetric complications such as pre-eclampsia (RR, 0.64; 0.35 to 1.15) and chorioamnionitis (RR, 0.21; 0.02 to 1.85).

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Most Read Articles
Elvira Manzano, 5 days ago
Bisphosphonates have proven antifracture efficacy and remain to be the cornerstone of osteoporosis treatment. However, a drug holiday is of particular importance with bisphosphonates due to some signals with long-term use of the drug, including rare incidence of atypical femoral fracture (AFF) and osteonecrosis of the jaw (ONJ), says a leading endocrinologist at AFOS 2017.
2 days ago
Breast cancer patients have notably different microbiomes in the local breast tissue and urinary tract, a recent study reveals. Particularly, species in the Methylobacterium genus are reduced in the local breast tissue while the urinary tract is enriched in gram-positive bacteria.
Tristan Manalac, 2 days ago
Statin use, particularly in smokers, obese patients and nondiabetics, has a strong and dose-dependent association with decreasing risk of pancreatic ductal adenocarcinoma (PDAC), according to a new study.
15 Oct 2017
Second eye cataract surgery provides greater improvement in visual function and quality of life compared with first eye cataract surgery alone, a recent study claims.