Treating Mild Gestational Diabetes Cuts Some Risks

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Treatment of mild gestational diabetes may reduce cesarean section rates and other maternal and fetal complication risks, but won't prevent the most serious of outcomes ...

Dietary intervention, blood glucose monitoring and insulin therapy ... significantly cut the frequency of macrosomia, shoulder dystocia, cesarean delivery, and preeclampsia and hypertension in pregnant women with abnormal oral glucose tolerance ...

But treatment brought no reduction in the primary composite outcome of stillbirth or perinatal death and neonatal hyperbilirubinemia, hypoglycemia, hyperinsulinemia, or birth trauma ...

... these results "clearly support" the treatment of even mild gesational diabetes ... And treatment largely consisted of dietary management -- only 7% of treated women required insulin -- so there's little risk from treating to counterbalance the benefits ...

... treatment was associated with:

* Lower mean birthweight * Less shoulder dystocia * 21% lower risk of cesarean deliveries * Less preeclampsia and gestational hypertension combined ...

Melissa Maimann, Essential Birth Consulting 0400 418 448