What is appropriate fetal surveillance for women with diet-controlled gestational diabetes?
No evidence clearly supports the practice of increased fetal surveillance in the pregnancies of women with well-controlled (ie, fasting blood sugar <105 mg/dL) class A1 gestational diabetes (strength of recommendation [SOR]: B, consistent retrospective cohort studies). However, a number of guidelines recommend beginning surveillance of some kind between 32 and 40 weeks based on cumulative risk factors, including gestational diabetes (SOR: C, expert opinion).
Loomis
Lucy
L
University of Colorado at Denver Health Sciences Center, Denver, CO, USA.
Lee
Jay
J
Tweed
Elizabeth
E
Fashner
Julia
J
D016640:Diabetes, Gestational / Q000145:classification / Q000175:diagnosis; D005260:Female; D005316:Fetal Distress / Q000517:prevention & control; D005323:Fetal Monitoring / Q000379:methods*; D006801:Humans; D011247:Pregnancy; D011263:Pregnancy Trimester, Third; D011295:Prenatal Care