title: Gestational diabetes in a rural setting.
abstract: Women who are already diabetic and become pregnant, as well as women who develop gestational diabetes, have increased risks of complications to both fetus and mother. These risks in gestational diabetes mellitus (GDM) can be reduced to near that of a non-diabetic mother by normalizing the blood sugar. The current recommended standards are reviewed. Utilizing a team approach, care was provided to patients with GDM in a rural primary care setting in order to attempt to normalize the blood sugar to the recommended level. Review of the outcomes of these pregnancies supports the conclusion that acceptable care for patients with GDM can be provided away from the tertiary care centers and in the primary care setting.
authors.affiliation: John A. Burns School of Medicine, University of Hawaii.
authors.forename: J W
authors.initials: JW
authors.lastname: Humphry
authors.forename: J
authors.initials: J
authors.lastname: Kadohiro
authors.forename: C
authors.initials: C
authors.lastname: Olinghouse
authors.forename: A S
authors.initials: AS
authors.lastname: Hartwell
mesh_terms: D000328:Adult; D003151:Community Health Centers; D016640:Diabetes, Gestational / Q000175:diagnosis* / Q000628:therapy; D005260:Female; D006254:Hawaii; D006801:Humans; D008427:Maternal Health Services; D011247:Pregnancy; D011254:Pregnancy in Diabetics / Q000175:diagnosis* / Q000628:therapy; D012424:Rural Population