This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Neal Clemenson, MD
Great Plains Family Practice Residency Program Oklahoma City, Okla

JAMA. 1996;276(6):451.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—The article on gestational diabetes mellitus (GDM) by Dr Naylor and colleagues¹ provides interesting information and will certainly add to the debate regarding the diagnosis and management of this entity. However, I would like to clarify a point in the article.

The authors state that "North American guidelines recommend routine screening for GDM," and they cite references, but other authorities question this recommendation. Stephenson² has reviewed the topic and found insufficient evidence for routine screening. In 1986,³ the American College of Obstetricians and Gynecologists recommended selective screening, but in 1994,⁴ they noted the absence of data to support screening and did not make a specific recommendation. Finally, the recently released guidelines from the United States Preventive Services Task Force⁵ cite insufficient evidence for or against screening for GDM.

Given the lack of evidence that screening for or treating GDM provides any real . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?