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Diabetes and Pregnancy

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Disclaimer is Guideline attempts to define principles of practice that should produce high-quality patient care. It is applicable to specialists, primary care practitioners, and providers at all levels. is Guideline should not be considered exclusive of other methods of care reasonably directed at obtaining the same results. e ultimate judgment concerning the propriety of any course of conduct must be made by the clinician aer consideration of each individual patient situation. Neither IGC, the medical associations, nor the authors endorse any product or service associated with the distribution of this clinical reference tool. Abbreviations ACE, angiotensin-converting enzyme; ADA, American Diabetes Association; ARB, angiotensin-receptor blocker; BP, blood pressure; CAD, coronary artery disease; DCCT, Diabetes Control and Complications Trial; GFR, glomerular filtration rate; HbA1c, hemoglobin A1c (glycohemoglobin); IADPSG, International Association of Diabetes and Pregnancy Study Groups; IOM, Institute of Medicine; MNT, medical nutrition therapy; NCGP, National Glycohemoglobin Standardization Program; NPH, neutral protamine Hagedorn; OGTT, oral glucose tolerance test; SC, subcutaneous; ES, Endocrine Society; TSH, thyroid stimulating hormone Source Blumer I, Hadar E, Hadden DR, Jovanovič L, Mestman JH, Murad MH, Yogev Y. Diabetes and pregnancy: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2013;98(11):4227-4249. 106 Commerce Street, Suite 105 Lake Mary, FL 32746 TEL: 407.878.7606 • FAX: 407.878.7611 For additional copies: info@GuidelineCentral.com Copyright © 2014 All rights reserved ESDIPRE14023 Grading System Strength of Recommendation 1 = strong 2 = less strong U = Ungraded Quality of Evidence ⊕⊕⊕⊕ = high ⊕⊕⊕ = moderate ⊕⊕ = low ⊕ = very low

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