Screening for gestational diabetes among women who have previously had a large baby or a stillborn infant

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Abstract
In Baranya county, Hungary oral glucose tolerance tests were done according to WHO recommendations in pregnant women with a history of a previous baby weighing ≥4000 g and/or a previous unexplained intrauterine fetal death. The first oral glucose tolerance test was done at 16–20 weeks gestation, and it was repeated monthly if it was normal. Patients with impaired glucose tolerance or gestational diabetes were treated by diet and/or insulin. 152 patients were involved in the screening program. Twenty-six patients had gestational diabetes or impaired glucose tolerance. A total of 81 patients had a “lag” curve blood glucose still above 5.5 mmol/l at 180 min.

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