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.
Department of Obstetrics and Gynecology, University of Alabama at Birmingham 35233-7333.
J
J
Owen
S T
ST
Phelan
M B
MB
Landon
S G
SG
Gabbe
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