title: International survey on gestational diabetes.
abstract: OBJECTIVE
  There is a lack of consensus among guidelines for screening, diagnosis and management of gestational diabetes (GDM). The purpose of this project was to determine current practices around GDM amongst members of the Medical Women's International Association (MWIA).
  
  
  METHODS
  The MWIA with the Division of Endocrinology and Metabolism, University of Ottawa, developed an online survey using "Survey Monkey" and distributed it to its members.
  
  
  RESULTS
  A total of 125 members completed the survey. Universal screening was recommended by 83% and most followed published guidelines. The 50 g glucose challenge test (GCT) was used for screening by 23% of participants while 25% recommended fasting blood glucose. There was also variability in how to proceed following a positive screening test. Almost 65 % recommended one of the glucose tolerance tests (50 g OGTT 26.7 % vs. 75 g OGTT 25.6% vs. 100 g OGTT 12.2%), while 18.8% recommended starting treatment and 16.7% used other diagnostic measures. Insulin was the most recommended treatment (75%) if diet/lifestyle failed.
  
  
  CONCLUSIONS
  Our survey highlights the international variability that exists in the screening, diagnosis, and management of women with GDM. These differences impact on true prevalence rates and may underestimate the costs of this disease. The recommendation to move to a single internationally accepted diagnostic algorithm may be hampered by the variation in current practice globally.
authors.affiliation: Division of Endocrinology and Metabolism, University of Ottawa, Ottawa, Ontario, Canada. madoyle@ottawahospital.on.ca
authors.forename: Mary-Anne
authors.initials: MA
authors.lastname: Doyle
authors.forename: Shajia
authors.initials: S
authors.lastname: Khan
authors.forename: Dabia
authors.initials: D
authors.lastname: Al-Mohanadi
authors.forename: Erin
authors.initials: E
authors.lastname: Keely
mesh_terms: D016640:Diabetes, Gestational / Q000175:diagnosis / Q000628:therapy; D004035:Diet Therapy / Q000706:statistics & numerical data; D005260:Female; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D019538:Health Care Surveys; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007328:Insulin / Q000627:therapeutic use; D008403:Mass Screening / Q000706:statistics & numerical data; D011181:Postnatal Care / Q000379:methods* / Q000592:standards / Q000706:statistics & numerical data; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011247:Pregnancy; D011295:Prenatal Care / Q000379:methods* / Q000592:standards / Q000706:statistics & numerical data; D040242:Risk Reduction Behavior
chemical_list: D007004:Hypoglycemic Agents; D007328:Insulin