Gestational diabetes survey.
OBJECTIVE
Our purpose was to determine how residents in obstetrics and gynecology and fellows in maternal-fetal medicine are currently being trained to diagnose and manage gestational diabetes mellitus.


METHODS
Questionnaires were mailed to 202 obstetrics and gynecology residency program directors and 78 maternal-fetal medicine fellowship directors.


RESULTS
Sixty-four (82%) of the maternal-fetal medicine directors versus 142 (70%) of the residency directors responded. Universal screening, use of a 50 gm glucose challenge with a 1-hour-postingestion sample, no requirements for fasting before the screening test, use of two abnormal values on the 3-hour glucose tolerance test to define gestational diabetes mellitus, and initiation of insulin for elevated fasting glucose levels in spite of diet therapy were each recommended by > 90% of the respondents.


CONCLUSIONS
Although the optimal management of gestational diabetes mellitus remains controversial, program directors are in general agreement with many aspects of the diagnosis and management.
Owen
J
J
Department of Obstetrics and Gynecology, University of Alabama at Birmingham 35233-7333.
Phelan
S T
ST
Landon
M B
MB
Gabbe
S G
SG
D003625:Data Collection; D016640:Diabetes, Gestational / Q000175:diagnosis* / Q000628:therapy*; D005257:Fellowships and Scholarships; D005260:Female; D006801:Humans; D007396:Internship and Residency; D008403:Mass Screening; D009774:Obstetrics / Q000193:education*; D011247:Pregnancy