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01/01/10 12:19 PM

"In what year did physicians start screening/monitoring for gestational diabetes? Mothers with complications back in the 60's and 70's are interested."
Asked By: mistyrider  
Category: Gestational Diabetes

Background Info Hide
My first child was 9 lbs., then 2 miscarriages around 3 month, the next child was 9lbs. 31/2 oz., the next 8lbs. 13 oz. and the next 7lbs. 3 oz and was delivered approximately 5 weeks early. The first 3 were emergency C-Sections. I was very ill with only the 4th pregnancy with the baby critical for 3 days with lungs collapsing. I was never overweight but did lose a lot during the first months with the second full term pregnancy. We have both type 1 and 2 in our families. The second born (daughter) had gestational diabetes with her 3rd pregnancy. Did cleansing and other "natural" health programs and her health was excellent with the last child. Would it have been more than likely I had gestational diabetes with my last child born in 1976? I was told he would have been 10 or more lbs. if full term. I never went over 52 lbs. at 5'5" with any of my pregnancies. Thank You for answering this question that has been 'haunting' me for years. Mistyrider

Expert Answers (1)

01/08/10 09:22 PM

Hello,

Thanks for asking dLife.

Gestational diabetes mellitus (GDM) is defined as glucose intolerance with onset or first recognition during pregnancy.

Although screening criteria for high-risk gestational diabetic patients were published as early as 1966, controversy as to the method of screening and when it should take place continue. From my literature search, there was no mention of the year physicians started screening for GDM.

High risk can be defined as a history of: delivery of a baby weighing more than 9 pounds. From your personal and family history of diabetes, there is a high probability that you experienced GDM with the child born in 1976.

No properly conducted randomized, controlled trial (RCT) has examined the benefit of universal or selective screening for GDM, compared with no screening.

The American College of Obstetrics and Gynecologists (ACOG) feels that there is not one certain method to be used to effectively screen the pregnant population for gestational diabetes. ACOG recommends that all pregnant women be screened for GDM by patient history, clinical risk factors, or a laboratory screening test.

The American Academy of Family Physicians has concluded that the evidence is insufficient to recommend for or against routine screening for gestational diabetes in asymptomatic pregnant women.

Click here to read more about GDM!

Take care.

Answered By: Liz Quintana
Accreditations: EdD, RD, LD, CDE
Sources Show

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