Effect of Treatment of Gestational Diabetes Mellitus on Pregnancy Outcomes

Abstract

The ACHOIS Trial describes the treatment of gestational diabetes mellitus on pregnancy outcomes. Women between 16 and 30 weeks gestation who had a response between normal and diabetic on a glucose-tolerance test were randomized to either usual care or to an intervention that included dietary advice, glucose-monitoring and insulin therapy. The trial found that treating gestational diabetes is associated with improved maternal and fetal outcomes, including decrease is macrosomia, birth trauma, shoulder dystocia, and preeclampsia.