Diabetes and pregnancy: an endocrine society clinical practice guideline

Ian Blumer, Eran Hadar, David R Hadden, Lois Jovanovič, Jorge H Mestman, M Hassan Murad, Yariv Yogev, Ian Blumer, Eran Hadar, David R Hadden, Lois Jovanovič, Jorge H Mestman, M Hassan Murad, Yariv Yogev

Abstract

Objective: Our objective was to formulate a clinical practice guideline for the management of the pregnant woman with diabetes.

Participants: The Task Force was composed of a chair, selected by the Clinical Guidelines Subcommittee of The Endocrine Society, 5 additional experts, a methodologist, and a medical writer.

Evidence: This evidence-based guideline was developed using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system to describe both the strength of recommendations and the quality of evidence.

Consensus process: One group meeting, several conference calls, and innumerable e-mail communications enabled consensus for all recommendations save one with a majority decision being employed for this single exception.

Conclusions: Using an evidence-based approach, this Diabetes and Pregnancy Clinical Practice Guideline addresses important clinical issues in the contemporary management of women with type 1 or type 2 diabetes preconceptionally, during pregnancy, and in the postpartum setting and in the diagnosis and management of women with gestational diabetes during and after pregnancy.

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