• Assessment
    Gestational Diabetes Mellitus Conclusion Statements: Insulin Therapy (2001 CD)
    • Conclusion

      Insulin therapy is recommended in women with GDM when MNT and self-blood glucose monitoring have not been adequate to maintain desirable plasma glucose levels (fasting: <105 mg/dl; 1-hour postprandial <155 mg/dl or 2-hour postprandial <130 mg/dL) and to prevent excessive maternal weight gain, macrosomia and fetal morbidity and mortality.

    • Grade: I
      • Grade I means there is Good/Strong evidence supporting the statement;
      • Grade II is Fair;
      • Grade III is Limited/Weak;
      • Grade IV is Expert Opinion Only;
      • Grade V is Not Assignable.
      • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
      • Moderate (B) means we are moderately confident in the effect estimate;
      • Low (C) means our confidence in the effect estimate is limited;
      • Very Low (D) means we have very little confidence in the effect estimate.
      • Ungraded means a grade is not assignable.