JAMA Sub-journal: For expectant mothers with gestational diabetes, even if the blood sugar is slowly controlled to the optimal range, the risk of dystocia, PICU and so on is still increased by 18%-42%!

Gestational diabetes is one of the most common complications of pregnancy, affecting about 8% of pregnancies

The important role of glycemic control in the management of gestational diabetes has been widely recognized, and the American Diabetes Association (ADA) recommends the use of self-monitoring of blood glucose as a primary measure

This population-based cohort study included patients with gestational diabetes who attended KPNC's telemedicine-based gestational diabetes care between January 2007 and December 2017, individuals with longitudinal electronic health record data from preconception to childbirth and who received antenatal care

The glycemic control trajectory was derived using potential class modeling based on self-monitoring of blood glucose measurements recommended by the

The results showed that a total of 26,774 people (mean [SD] age, 32.

These findings suggest that slow improvement to near optimal and slow improvement to suboptimal blood glucose control trajectories are associated

Original source:

Chehab RF, Ferrara A, Greenberg MB, Ngo AL, Feng J, Zhu Y.