should undergo testing for GDM at 24–28 weeks of gestation. A (high). GDM has been ... tal visit receive a diagnosis of overt, not gestational, diabetes. (21).The ADA states that because of the risks of GDM to the mother and the neonate, screening and diagnosis are warranted (21). The screening and diagnostic criteria for GDM have recently been modified extensively. The Hyperglycemia and Adverse Pregnancy Outcome (HAPO) study was a large (approximately 25 000 pregnant women) prospective, multinational epidemiologic study to assess adverse outcomes as a function of maternal glycemia (176). The study revealed strong, graded, predominantly linear associations between maternal glycemia and primary study outcomes, i.e., birth weight >90th percentile, delivery by cesarean section, clinical neonatal hypoglycemia, and cord serum insulin (C-peptide) concentrations >90th percentile of values in the HAPO study population....

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