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email article Both commonly used methods of screening for gestational diabetes were equally effective at identifying complication risks, according to a head-to-head trial. In this study, over 20,000 pregnant women were randomly assigned to either a one-step screener using just a glucose tolerance test or a two-step screener involving a glucose challenge test followed by an oral glucose tolerance test. The one-step screening method diagnosed nearly double the amount of gestational diabetes cases versus the two-step process, reported Teresa Hillier, MD, of Kaiser Permanente Northwest in Portland, Oregon, and colleagues in the Specifically, the one-step screener diagnosed 16.5% of the women with gestational diabetes compared with 8.5% of the women who underwent the two-step approach (unadjusted relative risk [RR] 1.94, 97.5% CI 1.79-2.11).

New yorkUnited statesBrian caseyTeresa hillierUniversity of alabamaAmerican college of obstetriciansAmerican diabetes associationKaiser permanente northwestNew england journalAmerican collegeNew york cityEngland journalEnglj medGestational diabetes mellitusPatient currently pregnantDiabetes mellitus