Flack Jeff R, Ross Glynis P
Diabetes Centre, Bankstown-Lidcombe Hospital, Bankstown, New South Wales, Australia.
Faculty of Medicine, University of NSW, Sydney, New South Wales, Australia.
Aust N Z J Obstet Gynaecol. 2016 Aug;56(4):346-8. doi: 10.1111/ajo.12457. Epub 2016 Mar 10.
We surveyed members of National Association of Diabetes Centres (NADC) assessing use of new Australasian Diabetes In Pregnancy Society (ADIPS) and Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) Gestational Diabetes Mellitus (GDM) diagnostic guidelines in Australia. We found piecemeal adoption of recommended changes, with cessation of the 50 g glucose challenge test (GCT) universal, early screening implementation common, but by varied methodologies, and new diagnostic criteria acceptance far from complete with significant workload increases almost universal.
我们对澳大利亚糖尿病中心协会(NADC)的成员进行了调查,评估新的澳大利亚妊娠糖尿病协会(ADIPS)以及澳大利亚和新西兰皇家妇产科医师学院(RANZCOG)的妊娠糖尿病(GDM)诊断指南在澳大利亚的使用情况。我们发现推荐的更改是逐步采用的,50克葡萄糖耐量试验(GCT)已全面停止使用,早期筛查的实施很普遍,但方法各不相同,新诊断标准的接受程度远未达到完全接受,而且几乎普遍出现工作量大幅增加的情况。