title: Comparing daily versus less frequent blood glucose monitoring in patients with mild gestational diabetes.
abstract: OBJECTIVE
  The prevalence of gestational diabetes mellitus (GDM) is increasing. This study was designed to determine if different frequencies in blood glucose (BG) monitoring, without regard to other variables, would allow timely detection of hyperglycemia requiring pharmacologic treatment in mild GDMs.
  
  
  METHODS
  Retrospective chart review, limited to self-glucose monitoring values, of 120 mild GDM patients who required pharmacologic therapy. Three data sets were constructed from each patient's BG log: (1) all available BG; (2) every other day's BG blocked; (3) only every third day's BG available for review. The blocked BG datasets were compared with daily values.
  
  
  RESULTS
  95% and 97% of subjects were started on pharmacologic therapy before or within 7 d of the reference date using every other day and every third day BG logs, respectively.
  
  
  CONCLUSIONS
  Based exclusively on BG values, without regard to other clinical information, every other day or every third day BG monitoring in mild GDM does not delay the initiation of pharmacologic therapy.
authors: Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Women and Infants' Hospital, Warren Alpert Medical School of Brown University , Providence, RI 02903 , USA. hmendezfigueroa@wihri.org
authors: Hector
authors: H
authors: Mendez-Figueroa
authors: Julie
authors: J
authors: Daley
authors: Vrishali V
authors: VV
authors: Lopes
authors: Donald R
authors: DR
authors: Coustan
mesh_terms: D000328:Adult; D001786:Blood Glucose / Q000032:analysis*; D015190:Blood Glucose Self-Monitoring / Q000379:methods; D016640:Diabetes, Gestational / Q000097:blood* / Q000175:diagnosis* / Q000453:epidemiology; D005260:Female; D006801:Humans; D011247:Pregnancy; D012189:Retrospective Studies; D012720:Severity of Illness Index; D013997:Time Factors; D055815:Young Adult
chemical_list: D001786:Blood Glucose