[The dilemma of diabetes in pregnancy: worldwide differences in diagnosis and management].
OBJECTIVE
Type 1 and type 2 diabetes in pregnancy as well as gestational diabetes mellitus (GDM) pose major risks to mother and fetus. We assessed to which extent two obstetric centers on two different continents coincide in their management of diabetes in pregnancy.


METHODS
Within the scope of research activities between the Obstetric Department of the Medical University of Graz, Austria, and the Centre of Obstetric Medicine at the Mater Misericordiae Mothers' Hospital in Brisbane, Australia, current practices among the two obstetric centers in Austria and Australia were assessed.


RESULTS
The management of type 1 and type 2 diabetes in pregnancy was almost identical, whereas major differences were found in the management of GDM.


CONCLUSIONS
Standardization of screening methods in diabetes in pregnancy remains challenging. National and international consensus has yet to be achieved in order to put a hold to the 'diabetic epidemic' we are going to face in the future.
Klinische Abteilung für Geburtshilfe, Universitätsklinik für Frauenheilkunde und Geburtshilfe, Medizinische Universität Graz, Auenbruggerplatz 14, Graz, Austria. willibald.zeck@medunigraz.at
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D000649:Amniocentesis / Q000592:standards; D001317:Austria; D001786:Blood Glucose / Q000378:metabolism; D032921:Consensus; D003431:Cross-Cultural Comparison; D003430:Cross-Sectional Studies; D003922:Diabetes Mellitus, Type 1 / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*; D016640:Diabetes, Gestational / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*; D005260:Female; D014943:Global Health; D005951:Glucose Tolerance Test / Q000592:standards; D006442:Glycated Hemoglobin / Q000378:metabolism; D006785:Hospitals, University; D006801:Humans; D007231:Infant, Newborn; D008403:Mass Screening / Q000592:standards; D011247:Pregnancy; D011254:Pregnancy in Diabetics / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*; D011296:Prenatal Diagnosis; D011793:Queensland; D012016:Reference Values
D001786:Blood Glucose; D006442:Glycated Hemoglobin; C517652:hemoglobin A1c protein, human