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Diabetes Midwives

NICE Guidelines GTT

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Blood Glucose Monitoring

Up to NICE Guidelines GTT
October 20. 2011
Sooi-Mai Jones

Hi Kirstin,

We are expected to implement NICE guideline since 2009. In my turst, we revised our guidelines as near to the recommendations of NICE. But for BGM, we advised women to test pre and post for two meals per day alternating on the next day. These should allow clinician to review the trend of any raised glucose level and the decision for titrating the insulin. Our diabetologist prefers the 2 hours post prandial results as our clientelle eats rather slowly. The pathophysiology of gestational diabetes is intolerance to carbohydrates and therefore the 2 hours post prandial peak should reflect whether there is a need for further treatment.


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