Care of diabetic pregnant women by primary-care physicians

Reported strategies for managing pregestational and gestational diabetes

David Marrero, Patricia Moore, Carl D. Langefeld, Alan Golichowski, Charles M. Clark

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

OBJECTIVE - To ascertain the strategies used by primary-care physicians for treating pregestational and gestational diabetes mellitus (GDM) during pregnancy, because many women with pregnancies complicated by these types of diabetes are treated by physicians who have no special training in intensive diabetes management. RESEARCH DESIGN AND METHODS - Two hundred twenty-four family-practice (FP) physicians and 184 obstetrics/gynecology (OB/GYN) physicians were surveyed by mail. RESULTS - When compared with OB/GYNs, FPs were less likely to screen all pregnant women for GDM (P = 0.03), use multiple-injection insulin regimens (P = 0.004) or self-monitoring of blood glucose (SMBG) (P = 0.01) for Pre-GDM patients, and refer these patients to a specialist for medical (P = 0.01) or ophthalmologic (P < 0.001) care. FPs were more likely to implement insulin therapy (P = 0.003), SMBG (P = 0.02), and examine eyes for retinopathy (P < 0.001) when treating gestational patients. CONCLUSIONS - These data show that there are considerable discrepancies between the strategies used by FPs and OB/GYNs and also suggest that physicians in both groups are under-utilizing recommended treatment strategies described in publications targeted specifically to primary-care physicians. Increased exposure to and dissemination of guidelines for diabetes management and additional medical school and postgraduate education programs are recommended as methods to improve utilization of these strategies.

Original languageEnglish
Pages (from-to)101-107
Number of pages7
JournalDiabetes Care
Volume15
Issue number1
StatePublished - Jan 1992

Fingerprint

Gestational Diabetes
Primary Care Physicians
Blood Glucose Self-Monitoring
Pregnant Women
Physicians
Insulin
Pregnancy
Family Practice
Family Physicians
Postal Service
Medical Schools
Gynecology
Obstetrics
Publications
Research Design
Guidelines
Education
Injections
Therapeutics

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism

Cite this

Care of diabetic pregnant women by primary-care physicians : Reported strategies for managing pregestational and gestational diabetes. / Marrero, David; Moore, Patricia; Langefeld, Carl D.; Golichowski, Alan; Clark, Charles M.

In: Diabetes Care, Vol. 15, No. 1, 01.1992, p. 101-107.

Research output: Contribution to journalArticle

Marrero, David ; Moore, Patricia ; Langefeld, Carl D. ; Golichowski, Alan ; Clark, Charles M. / Care of diabetic pregnant women by primary-care physicians : Reported strategies for managing pregestational and gestational diabetes. In: Diabetes Care. 1992 ; Vol. 15, No. 1. pp. 101-107.
@article{89ab6ae14df945af93f458f1f1f6469c,
title = "Care of diabetic pregnant women by primary-care physicians: Reported strategies for managing pregestational and gestational diabetes",
abstract = "OBJECTIVE - To ascertain the strategies used by primary-care physicians for treating pregestational and gestational diabetes mellitus (GDM) during pregnancy, because many women with pregnancies complicated by these types of diabetes are treated by physicians who have no special training in intensive diabetes management. RESEARCH DESIGN AND METHODS - Two hundred twenty-four family-practice (FP) physicians and 184 obstetrics/gynecology (OB/GYN) physicians were surveyed by mail. RESULTS - When compared with OB/GYNs, FPs were less likely to screen all pregnant women for GDM (P = 0.03), use multiple-injection insulin regimens (P = 0.004) or self-monitoring of blood glucose (SMBG) (P = 0.01) for Pre-GDM patients, and refer these patients to a specialist for medical (P = 0.01) or ophthalmologic (P < 0.001) care. FPs were more likely to implement insulin therapy (P = 0.003), SMBG (P = 0.02), and examine eyes for retinopathy (P < 0.001) when treating gestational patients. CONCLUSIONS - These data show that there are considerable discrepancies between the strategies used by FPs and OB/GYNs and also suggest that physicians in both groups are under-utilizing recommended treatment strategies described in publications targeted specifically to primary-care physicians. Increased exposure to and dissemination of guidelines for diabetes management and additional medical school and postgraduate education programs are recommended as methods to improve utilization of these strategies.",
author = "David Marrero and Patricia Moore and Langefeld, {Carl D.} and Alan Golichowski and Clark, {Charles M.}",
year = "1992",
month = "1",
language = "English",
volume = "15",
pages = "101--107",
journal = "Diabetes Care",
issn = "1935-5548",
publisher = "American Diabetes Association Inc.",
number = "1",

}

TY - JOUR

T1 - Care of diabetic pregnant women by primary-care physicians

T2 - Reported strategies for managing pregestational and gestational diabetes

AU - Marrero, David

AU - Moore, Patricia

AU - Langefeld, Carl D.

AU - Golichowski, Alan

AU - Clark, Charles M.

PY - 1992/1

Y1 - 1992/1

N2 - OBJECTIVE - To ascertain the strategies used by primary-care physicians for treating pregestational and gestational diabetes mellitus (GDM) during pregnancy, because many women with pregnancies complicated by these types of diabetes are treated by physicians who have no special training in intensive diabetes management. RESEARCH DESIGN AND METHODS - Two hundred twenty-four family-practice (FP) physicians and 184 obstetrics/gynecology (OB/GYN) physicians were surveyed by mail. RESULTS - When compared with OB/GYNs, FPs were less likely to screen all pregnant women for GDM (P = 0.03), use multiple-injection insulin regimens (P = 0.004) or self-monitoring of blood glucose (SMBG) (P = 0.01) for Pre-GDM patients, and refer these patients to a specialist for medical (P = 0.01) or ophthalmologic (P < 0.001) care. FPs were more likely to implement insulin therapy (P = 0.003), SMBG (P = 0.02), and examine eyes for retinopathy (P < 0.001) when treating gestational patients. CONCLUSIONS - These data show that there are considerable discrepancies between the strategies used by FPs and OB/GYNs and also suggest that physicians in both groups are under-utilizing recommended treatment strategies described in publications targeted specifically to primary-care physicians. Increased exposure to and dissemination of guidelines for diabetes management and additional medical school and postgraduate education programs are recommended as methods to improve utilization of these strategies.

AB - OBJECTIVE - To ascertain the strategies used by primary-care physicians for treating pregestational and gestational diabetes mellitus (GDM) during pregnancy, because many women with pregnancies complicated by these types of diabetes are treated by physicians who have no special training in intensive diabetes management. RESEARCH DESIGN AND METHODS - Two hundred twenty-four family-practice (FP) physicians and 184 obstetrics/gynecology (OB/GYN) physicians were surveyed by mail. RESULTS - When compared with OB/GYNs, FPs were less likely to screen all pregnant women for GDM (P = 0.03), use multiple-injection insulin regimens (P = 0.004) or self-monitoring of blood glucose (SMBG) (P = 0.01) for Pre-GDM patients, and refer these patients to a specialist for medical (P = 0.01) or ophthalmologic (P < 0.001) care. FPs were more likely to implement insulin therapy (P = 0.003), SMBG (P = 0.02), and examine eyes for retinopathy (P < 0.001) when treating gestational patients. CONCLUSIONS - These data show that there are considerable discrepancies between the strategies used by FPs and OB/GYNs and also suggest that physicians in both groups are under-utilizing recommended treatment strategies described in publications targeted specifically to primary-care physicians. Increased exposure to and dissemination of guidelines for diabetes management and additional medical school and postgraduate education programs are recommended as methods to improve utilization of these strategies.

UR - http://www.scopus.com/inward/record.url?scp=0026595735&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0026595735&partnerID=8YFLogxK

M3 - Article

VL - 15

SP - 101

EP - 107

JO - Diabetes Care

JF - Diabetes Care

SN - 1935-5548

IS - 1

ER -