title: Missed follow-up opportunities using a two-step screening approach for gestational diabetes.
abstract: A 1-step approach for gestational diabetes (GDM) screening using a 75 g-oral glucose tolerance test (75 g-OGTT) has been recommended. We undertook an audit (January 2007-June 2010) to assess adherence to an existing 2-step approach (50 g-glucose challenge test followed by a 75 g-OGTT). Adherence was sub-optimal. Overall follow-up was missed in 14.5% of those screened. Only 36% of those who met dysglycemia criteria for a follow-up 75 g-OGTT received the test as per step 2 of the protocol.
authors.affiliation: Department of Pathology and Molecular Medicine, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
authors.forename: John L
authors.initials: JL
authors.lastname: Sievenpiper
authors.forename: Sarah D
authors.initials: SD
authors.lastname: McDonald
authors.forename: Vijaylaxmi
authors.initials: V
authors.lastname: Grey
authors.forename: Andrew C
authors.initials: AC
authors.lastname: Don-Wauchope
mesh_terms: D000328:Adult; D001786:Blood Glucose / Q000378:metabolism; D016640:Diabetes, Gestational / Q000097:blood / Q000175:diagnosis*; D005260:Female; D005951:Glucose Tolerance Test; D006801:Humans; D011247:Pregnancy
chemical_list: D001786:Blood Glucose