title: Diabetes in Pregnancy.
abstract: This guideline reviews the evidence relating to the diagnosis and obstetrical management of diabetes in pregnancy.
  
  
  
  The outcomes evaluated were short- and long-term maternal outcomes, including preeclampsia, Caesarean section, future diabetes, and other cardiovascular complications, and fetal outcomes, including congenital anomalies, stillbirth, macrosomia, birth trauma, hypoglycemia, and long-term effects.
  
  
  
  Published literature was retrieved through searches of PubMed and the Cochrane Library using appropriate controlled vocabulary (MeSH terms "diabetes" and "pregnancy"). Where appropriate, results were restricted to systematic reviews, randomized control trials/controlled clinical trials, and observational studies. There were no date limits, but results were limited to English or French language materials.
  
  
  
  The quality of evidence was rated using the criteria described in the Report of the Canadian Task Force on Preventive Health Care (Table 1).
  
  
  
  Recommendations It is recognized that the use of different diagnostic thresholds for the "preferred" and "alternative" strategies could cause confusion in certain settings. Despite this, the committee has identified the importance of remaining aligned with the current Canadian Diabetes Association 2013 guidelines as being a priority. It is thus recommended that each care centre strategically align with 1 of the 2 strategies and implement protocols to ensure consistent and uniform reporting of test results.
authors: Toronto ON.
authors: Howard
authors: H
authors: Berger
authors: Montreal QC.
authors: Robert
authors: R
authors: Gagnon
authors: Toronto ON.
authors: Mathew
authors: M
authors: Sermer
authors: Vancouver BC.
authors: Melanie
authors: M
authors: Basso
authors: Victoria BC.
authors: Hayley
authors: H
authors: Bos
authors: Beaconsfield QC.
authors: Richard N
authors: RN
authors: Brown
authors: Quebec QC.
authors: Emmanuel
authors: E
authors: Bujold
authors: Calgary AB.
authors: Stephanie L
authors: SL
authors: Cooper
authors: Montreal QC.
authors: Robert
authors: R
authors: Gagnon
authors: Quebec QC.
authors: Katy
authors: K
authors: Gouin
authors: Halifax NS.
authors: N Lynne
authors: NL
authors: McLeod
authors: Winnipeg MB.
authors: Savas M
authors: SM
authors: Menticoglou
authors: Windsor ON.
authors: William R
authors: WR
authors: Mundle
authors: Calgary AB.
authors: Anne
authors: A
authors: Roggensack
authors: Saint John NL.
authors: Frank L
authors: FL
authors: Sanderson
authors: Rothesay NB.
authors: Jennifer D
authors: JD
authors: Walsh
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D011247:Pregnancy; D055815:Young Adult; D001786:Blood Glucose; D001942:Breast Feeding; D002170:Canada; D003920:Diabetes Mellitus; D016640:Diabetes, Gestational / Q000175:diagnosis / Q000628:therapy; D006943:Hyperglycemia / Q000150:complications; D011254:Pregnancy in Diabetics / Q000175:diagnosis / Q000628:therapy; D050497:Stillbirth
chemical_list: D001786:Blood Glucose
keywords: Diabetes; pregnancy; stillbirth