Current trends in the diagnosis and management of gestational diabetes mellitus in the United States.

Objective: To assess current practice patterns among members of the Society for Maternal-Fetal Medicine (SMFM) with respect to the diagnosis and management of gestational diabetes mellitus (GDM).

Methods: A 38 question survey on GDM diagnosis and management was distributed to SMFM members.

Results: 2330 SMFM members were surveyed with a 40% response rate.

Glyburide transport across the human placenta.

Objective: To estimate the magnitude of transplacental transfer of glyburide in women with gestational diabetes mellitus (GDM).

Methods: A prospective, observational study was conducted on women with GDM on glyburide therapy. On delivery admission, the glyburide dose and time of last dose were recorded.

Can a single preterm ultrasound accurately predict birth weight in gestational diabetes?

Objective: To evaluate the accuracy of the gestation-adjusted projection method of birth weight prediction, as compared to near delivery ultrasound estimated fetal weight, in a gestational diabetic population.

Methods: A retrospective cohort was conducted including all women with gestational diabetes who had an ultrasound estimated fetal weight (EFW) between 34(0/7) and 36(6/7) weeks and an additional ultrasound EFW within 7 d of delivery at term. The gestation-adjusted projection (GAP) method was applied to the earlier sonogram, resulting in the GAP predicted birth weight.