DIABETES SCREENING IN PATIENTS WITH DIFFE RENT RISK-FACTORS - BENEFITS, THERAPEUTIC SUCCESS AND CONSEQUENCES

600 ethnically heterogenous patients with various risk factors from ou tpatient obstetric clinic of the UFK Ulm were screened for gestational diabetes. Incidence with the 100 g oGTT was 21%, with fasting levels having the lowest prognostic value, and one hour levels having the bes t. After the diagnosis of gestational diabetes was established patient s were counselled and put on diet, 7% received insulin additionally. W eight gain was far more acceptable in those patients compared to the g roup of patients with normal metabolism. We observed no significant di fferences concerning fetal macrosomia, cesarian section-rates. newborn apgar and ph-values compared to normal pregnant women. We confirmed t he known risk factors, personal history, familial disposition and mate rnal age, A screening based only on these criteria, however, would fai l to detect 20% of patients with gestational diabetes. A general scree ning must be postulated.