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The case for screening for raised blood glucose in pregnancy has strengthened, partly because changes in maternal age and weight are increasing the prevalence of gestational diabetes. There is also evidence that metformin and glibenclamide can be used before insulin. However the threshold of blood glucose at which treatment should start remains uncertain. Screening with HbA1c at booking clinic should be considered
The Aberdeen HTA Group, University of Aberdeen, Aberdeen, UK
* Corresponding author Email: n.r.waugh@abdn.ac.uk
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