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английский) 3:
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gestational diabetes was similar (3.6% –3.7%) in each ofthe 3 groups. Assuming that the prevalence of gdm.the new ada criteria would be in the range of 16%, thecost per case of gdm diagnosed would presumably fallfrom can $3010 to can $677, and in that sense the ada1 - step approach would be considerably more costeffective than either 2 - step approach. a decision analysis model (74) was used to compared the screeningwith the current ACOG approach (13) and theIADPSG / ada approach (1). this to a screening, the IADPSG / ada strategy was yet equally as costeffective as the current ACOG strategy only if veryment included postdelivery care, which reduces theincidence of subsequent diabetes. it is to be expectedfor more information about public health implications will become available if and when the new criteriaare more widely adopted.regardless of the criteria used, gestational diabetesis increasing in prevalence around the world in parallelwith the increasing prevalence of obesity and type 2diabetes. all of these trends will no doubt stress thehealthcare systems both in the us and abroad. hopenow, more efficient and more scientifically based approaches to diagnosis and treatment will evolve to keepup with demands. Ultimately, prevention must be thegoal.
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