Glycemic Control in Twin Pregnancies With Gestational Diabetes: Are we Improving or Worsening Outcomes?

By on July 9, 2019

Twin pregnancies are at increased risk of gestational diabetes.  However, although diagnosis and  treatment of gestational diabetes has been shown to be useful in singleton pregnancies, it is unclear if this is true in twin pregnancies as well.  For example, one of the risks of gestational diabetes is fetal macrosomia, or a very large fetus, which is extremely uncommon in twin pregnancies, even those with gestational diabetes.  In this study we found that stricter control  of gestational diabetes in twin pregnancies was actually associated with worse outcomes.  We suggest that more research needs to be done to determine the optimal treatment of gestational diabetes in twin pregnancies.

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