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dc.contributor.authorBuckley, B. S.
dc.contributor.authorHarreiter, J.
dc.contributor.authorDamm, P.
dc.contributor.authorCorcoy, R.
dc.contributor.authorChico, A.
dc.contributor.authorSimmons, D.
dc.contributor.authorVellinga, A.
dc.contributor.authorDunne, F.
dc.contributor.author,
dc.date.accessioned2018-09-20T16:01:53Z
dc.date.available2018-09-20T16:01:53Z
dc.date.issued2012-06-19
dc.identifier.citationBuckley, B. S. Harreiter, J.; Damm, P.; Corcoy, R.; Chico, A.; Simmons, D.; Vellinga, A.; Dunne, F.; , (2012). Gestational diabetes mellitus in europe: prevalence, current screening practice and barriers to screening. a review. Diabetic Medicine 29 (7), 844-854
dc.identifier.issn0742-3071
dc.identifier.urihttp://hdl.handle.net/10379/10575
dc.description.abstractDiabet. Med. 29, 844854 (2012) Abstract Background Gestational diabetes mellitus is a potentially serious condition that affects many pregnancies and its prevalence is increasing. Evidence suggests early detection and treatment improves outcomes, but this is hampered by continued disagreement and inconsistency regarding many aspects of its diagnosis. Methods The Vitamin D and Lifestyle Intervention for Gestational Diabetes Mellitus Prevention (DALI) research programme aims to promote pan-European standards in the detection and diagnosis of gestational diabetes and to develop effective preventive interventions. To provide an overview of the context within which the programme will be conducted and its findings interpreted, systematic searching and narrative synthesis have been used to identify and review the best available European evidence relating to the prevalence of gestational diabetes, current screening practices and barriers to screening. Results Prevalence is most often reported as 26% of pregnancies. Prevalence may be lower towards the Northern Atlantic seaboard of Europe and higher in the Southern Mediterranean seaboard. Screening practice and policy is inconsistent across Europe, hampered by lack of consensus on testing methods, diagnostic glycaemic thresholds and the value of routine screening. Poor clinician awareness of gestational diabetes, its diagnosis and local clinical guidelines further undermine detection of gestational diabetes. Conclusions Europe-wide agreement on screening approaches and diagnostic standards for gestational diabetes could lead to better detection and treatment, improved outcomes for women and children and a strengthened evidence base. There is an urgent need for well-designed research that can inform decisions on best practice in gestational diabetes mellitus screening and diagnosis.
dc.publisherWiley-Blackwell
dc.relation.ispartofDiabetic Medicine
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 Ireland
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/3.0/ie/
dc.subjectgestational diabetes mellitus
dc.subjectprevalence
dc.subjectscreening
dc.subjectglucose-tolerance test
dc.subjectpregnancy outcomes
dc.subjectrisk-factors
dc.subjectdiagnosis
dc.subjectwomen
dc.subjectcriteria
dc.subjectcomplications
dc.subjectguidelines
dc.subjectprotocol
dc.subjectimpact
dc.titleGestational diabetes mellitus in europe: prevalence, current screening practice and barriers to screening. a review
dc.typeArticle
dc.identifier.doi10.1111/j.1464-5491.2011.03541.x
dc.local.publishedsourcehttp://onlinelibrary.wiley.com/doi/10.1111/j.1464-5491.2011.03541.x/pdf
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