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Gestational diabetes mellitus (GDM) affects approximately 6% of pregnancies in the United States, and it is increasing in prevalence. Pregnant women without known diabetes mellitus should be screened for GDM after 24 weeks of gestation. Treatment of GDM results in a statistically significant decrease in the incidence of preeclampsia, shoulder dystocia, and macrosomia. Initial management includes glucose monitoring and lifestyle modifications.
(1) If two or more tests show blood glucose higher than the normal ranges above, gestational diabetes will be diagnosed.(2) A 75-gram glucose load may be used but may not be as reliable as the 100-gram glucose test. If your doctor has you take the 75-gram test, you will not have blood drawn at the 3-hour mark.