Australian Carbohydrate Intolerance Study in Pregnant Women (ACHOIS) Trial Group. Women with gestational diabetes mellitus in the ACHOIS trial: risk factors . The Australian Carbohydrate Intolerance Study in Pregnant Women (ACHOIS) showed that treatment of pregnant women with mild gestational. diabetes mellitus – evaluation from the ACHOIS randomised trial Carbohydrate Intolerance Study in Pregnant Women (ACHOIS) Trial.

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However, all the women who were enrolled in the study were instructed regarding the daily assessment of fetal activity. The individual rates of neonatal hypoglycemia, hyperbilirubinemia, birth trauma, and elevated cord-blood C-peptide level did not differ significantly between the two groups. The majority of outcomes included in the composite outcome of the ACHOIS trial were cases of shoulder dystocia, which is considered by many to be an intermediate health outcome.

A Multicenter, Randomized Trial of Treatment for Mild Gestational Diabetes

Moore TR, Piacquadio K. There were no perinatal deaths. It is uncertain whether treatment of mild gestational diabetes mellitus improves pregnancy outcomes.

The study was approved by the human subjects committee at each participating center. We observed no significant difference between groups in the frequency of the composite outcome Preterm delivery — no. In contrast with previous randomized trials involving women with gestational diabetes mellitus, we verified compliance with glycemic monitoring and documented whether target glucose thresholds were achieved.

Composite end point — no. Women with a fasting glucose level of 95 mg per deciliter or more on the diagnostic oral achoiw test were excluded from the study, and their condition was made known to their health care providers.

Table 3 Secondary Neonatal Outcomes. There were no significant differences in demographic variables or results of the oral glucose-tolerance test between the women in the treatment group and those in the control group.

Women in the intervention group had a higher rate of induction of labor than the women in the routine-care group 39 percent vs. N Engl J Med. We reviewed the literature to determine the frequency of each component of the composite outcome among women with gestational diabetes mellitus who were not treated for the condition and among those who were treated.


A Multicenter, Randomized Trial of Treatment for Mild Gestational Diabetes

Garcia; Columbia University — M. There were 10 women in the treatment group and 19 women in the control group for whom at least some delivery data were missing. We randomly assigned women between 24 and 34 weeks’ gestation who had gestational diabetes to receive dietary advice, blood glucose monitoring, and insulin therapy as needed the intervention group or routine care. However, more infants of women in the intervention group were admitted to the neonatal nursery 71 percent vs.

A total of of these women were enrolled; women with mild gestational diabetes mellitus were assigned to the study treatment, and women achoia mild gestational diabetes mellitus were assigned to receive usual prenatal care.

Treatment of gestational diabetes reduces serious perinatal morbidity and may also improve the woman’s health-related quality of life. Address reprint requests to Dr. Mild gestational stydy mellitus was defined as a fasting glucose level of less than 95 mg per deciliter 5. Preeclampsia or gestational hypertension — no.

Effect of treatment of gestational diabetes mellitus on pregnancy outcomes.

We did not disclose the results of oral glucose-tolerance tests to caregivers or subjects in the control group in order to minimize the likelihood of self-treatment, which has been a limitation in pilot studies of treatment of gestational diabetes mellitus. During the course of the trial, an external data and safety monitoring committee stuxy reviewed the trial results. The number in each group refers to the number of women for whom all delivery data were available.

The results from the HAPO study suggested that a threshold for an increased risk of clinical neonatal hypoglycemia may not be apparent until fasting maternal glucose levels exceed mg per deciliter 5. Bernhardt; Drexel University — M. Impaired glucose tolerance in adolescent offspring of diabetic mothers: The primary study out come was a composite outcome that included perinatal mortality stillbirth or neonatal death and complications that have been associated with maternal hyperglycemia: The baseline characteristics of the women who were randomly assigned to a study group are shown in Table 1.


Secondary maternal outcomes included weight gain from the time of enrollment to delivery, gestational hypertension, preeclampsia, cesarean delivery, labor induction, and shoulder dystocia. An additional women with normal results on the oral glucose-tolerance achoia were included in the group that received usual prenatal care, zchois mask the status of the control group Fig.

Data on maternal glucose levels from women in the treatment group indicated that target glycemic thresholds were achieved Table 5. Insulin resistance, a characteristic of gestational studu mellitus, has been associated studh the development of preeclampsia.

Effect of treatment of gestational diabetes mellitus on pregnancy outcomes.

Sharp; University of Pittsburgh — S. Support Center Support Center. See other articles in PMC that cite the published article.

The average time from the performance of the oral glucose-tolerance test to randomization was 4. Table 4 Maternal Outcomes. Gestational hypertension was defined as a systolic pressure of mm Hg or more or a diastolic pressure of 90 mm Hg or more on two occasions at least 4 hours apart, or one elevated blood-pressure ahois subsequently treated with medication.

By including this group of women who did not have gestational diabetes mellitus, the patients, their caregivers, and the study staff were unaware of whether women in the control group met the criteria for the diagnosis of mild gestational diabetes mellitus.