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1

Keller, J. D., G. O. Utter, S. L. Dooley, J. P. Minogue, and L. G. Keith. "Northwestern University Twin Study X: Outcome of Twin Gestations Complicated by Gestational Diabetes Mellitus." Acta geneticae medicae et gemellologiae: twin research 40, no. 2 (April 1991): 153–57. http://dx.doi.org/10.1017/s0001566000002580.

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AbstractExisting data concerning the effect of gestational diabetes on perinatal outcome in twin pregnancies is scant. We hypothesized that altered carbohydrate metabolism would worsen perinatal outcome in twin gestation in a manner similar to singleton gestation. Thirteen twin pregnancies complicated by gestational diabetes mellitus were matched by gestational age at delivery to 13 twin pregnancies unaffected by gestational diabetes. Comparing infants of diabetic mothers to infants of control mothers, there was a trend of greater likelihood of respiratory distress syndrome, hyperbilirubinemia, and prolonged neonatal intensive care nursery admissions. Our experience suggests that altered carbohydrate metabolism in multiple gestations increases the potential for neonatal morbidity.
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2

Tebes, Christine C., Stephen J. Tebes, Kevin Brown, and William Spellacy. "Gestational Diabetes and Multiple Gestations." Obstetrics & Gynecology 107, Supplement (April 2006): 65S. http://dx.doi.org/10.1097/00006250-200604001-00154.

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3

Chowdhury, Salma, Tanvirul Hasan, Mir Moyeedul Islam, Susmita Nargis, and ABM Moniruddin. "Gestational Diabetes Mellitus." KYAMC Journal 9, no. 2 (September 10, 2018): 81–86. http://dx.doi.org/10.3329/kyamcj.v9i2.38154.

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Diabetes mellitus during pregnancy (i.e., Gestational Diabetes Mellitus or GDM) has definite impact on maternal & fetal health. A woman is diagnosed with gestational diabetes specially when glucose intolerance continues beyond 24-28 weeks of gestation GDM needs to be specially considered, because it may often remain undiagnosed leading to abortion, miscarriage, fetal obesity, intra-uterine growth retardation (IUGR), intrauterine death (IUD) of fetus in addition to maternal morbidities & mortalities. Here we have reviewed in brief about the causes, pathophysiology, complications, risks, diagnosis, management, prevention etc. of GDM.KYAMC Journal Vol. 9, No.-2, July 2018, Page 81-86
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4

Klein, Katharina, Mariella Mailath-Pokorny, Heinz Leipold, Elisabeth Krampl-Bettelheim, and Christof Worda. "Influence of Gestational Diabetes Mellitus on Weight Discrepancy in Twin Pregnancies." Twin Research and Human Genetics 13, no. 4 (August 1, 2010): 393–97. http://dx.doi.org/10.1375/twin.13.4.393.

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AbstractObjective:To evaluate the influence of gestational diabetes mellitus on weight discrepancy in twin pregnancies.Methods:200 twin pregnancies were included in the study. 157 nondiabetic pregnant women with twin gestations and 43 twin pregnancies with gestational diabetes mellitus (GDM) with viable fetuses born after 24 weeks of gestation were enrolled. Influence of maternal age, body-mass-index at the time of the oral glucose tolerance test, parity, smoking, chorionicity, gestational age at delivery and diagnosis of GDM on weight discrepancy of the twins was evaluated.Results:Mean weight discrepancy of all analyzed twin pregnancies was 285 grams (± 231), relative weight discrepancy was 11.3% (± 8.6). Univariate regression analyses showed that GDM, chorionicity and gestational age at delivery were significantly associated with weight discrepancy. In the multivariate model only diagnosis of GDM was significantly associated with weight discrepancy.Conclusion:Twin pregnancies with insulin requiring gestational diabetes seem to have less birth weight discrepancy than twin pregnancies with normal glucose tolerance.
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Padmasri Devi, P., M. Mahalakshmi, V. Sarojini Devi, M. Kiran Deedi, Ch Ganapathi Swamy, and V. Thoyoja Durga. "Prevalence of Gestational Diabetes Mellitus." Indian Journal of Obstetrics and Gynecology 7, no. 2 (2019): 309–11. http://dx.doi.org/10.21088/ijog.2321.1636.7219.31.

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6

Stan, Daniela, and Mihai Mitran. "Gestational diabetes." Ginecologia.ro 2, no. 24 (2019): 48. http://dx.doi.org/10.26416/gine.24.2.2019.2379.

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7

Winter, George F. "Gestational diabetes." British Journal of Midwifery 29, no. 4 (April 2, 2021): 234. http://dx.doi.org/10.12968/bjom.2021.29.4.234.

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8

Meccariello, Lynne. "Gestational Diabetes." Physician Assistant Clinics 7, no. 3 (July 2022): 521–32. http://dx.doi.org/10.1016/j.cpha.2022.02.009.

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9

Majeed, Tayyaba, Rabia Adnan, Irum Mubshar, Hamis Mahmood, Kanwal Saba, Sardar Fakhar Imam, Muhammad Al-Fareed Zafar, and Mulazim Hussain Bukhari. "GESTATIONAL DIABETES." Professional Medical Journal 22, no. 10 (October 10, 2015): 1298–303. http://dx.doi.org/10.29309/tpmj/2015.22.10.983.

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Objectives: To compare the efficacy of Metformin with insulin in gestationaldiabetes mellitus in terms of fetomaternal outcome. Study Deign: Randomized clinicaltrial study. Setting: Lady Aitchison Hospital Lahore. Period: January 2014 to March 2015.Methodology: Total 500 pregnant females with GDM were included in the study through nonprobability,consecutive sampling. Patients were divided into 2 equal groups (A: B). Patientsin group A were given tablet metformin 500 mg by oral route and group B was administratedregular injection Insulin by subcutaneous route. Results: The mean age of females was32.14±6.13 years. The mean gestational age was 31.07±3.8 weeks. There were 78 (15.6%)females who had 0 parity, 107 (21.4%) females had parity 1, 175 (35%) females had parity2, 95 (19%) females had parity 3, 33 (6.6%) females had parity 4 and 12 (2.4%) femaleshad parity 5.There were 54 (10.8%) cases had PTB, out of which 12 (4.8%) had PTB withmetformin while 42 (16.8%) had PTB with insulin. There were 115 (23%) neonates requiredNICU admission, out of which 37 (14.8%) neonates with metforminand78 (31.2%) neonateswith insulin. There were 87 (17%) neonates who had neonatal hypoglycemia, out of which23 (9.2%) neonates with metformin and64 (25.6%) neonates with insulin. The difference wassignificant between both groups for all fetal outcomes (P<0.05). Conclusion: The metforminis more effective in preventing adverse fetal and maternal outcome as compared to insulin.
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10

Anwer, Ashba, Uzma Asif, Muhammad Asif Bhalli, and Midhat Asif. "GESTATIONAL DIABETES." Professional Medical Journal 23, no. 12 (December 10, 2016): 1465–70. http://dx.doi.org/10.29309/tpmj/2016.23.12.1798.

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Objectives: To find the frequency of gestational diabetes in pregnant womenusing 50 grams glucose challenge test. Study design: a descriptive study. Place and duration:Department of Obstetrics and Gynecology, Lady Atchison Hospital, Lahore from August 2012to August 2013. Methodology: Through non-probability convenient sampling, 200 pregnantwomen between 24-28 weeks of gestation were studied. All known diabetic patients wereexcluded from the study. Pulse, BP, weight and height were recorded and Body Mass Index wascalculated. Physical and antenatal examination were done. Patients were given 50 gm glucosedissolved in 200 ml of water without any dietary preparation. Glucose levels were measuredin venous plasma after one hour according to American Diabetic Association protocol. Bloodglucose level more than 140mg/dl was diagnosed as screened positive and less than 140mg/dl screened negative. The data analysis was analysed by SPSS 20. Results: Out of total 200women studied, 28 (14%) had abnormal screening test while 172 (86%) had normal test. Historyof obstetric complications was noted in 10 (5%) women. PIH was noted in 19 (19.5%) andpast history of GDM was present in 14 (8.13%). Mean age of patients screened positive was25.03 ± 2.9 years. Gestational age of positive group ranged between 19 to 32 weeks. Meangestational age was 26.17+3.37 weeks. Among screened positive women, 7 (25%) womenwere primigravida while 21 (75%) women were multigravida. Conclusion: Significant riskfactor associated with GDM include family history of DM, maternal obesity, previous history ofobstetric complications. Failure to recognize and treat the GDM results in maternal and fetalmorbidity and mortality.
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11

SHAHEEN, SHAZIA, ROBINA ALI, and UZMA ,. AFZAL. "GESTATIONAL DIABETES;." Professional Medical Journal 20, no. 02 (February 7, 2013): 232–36. http://dx.doi.org/10.29309/tpmj/2013.20.02.632.

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Objective: To determine the Accuracy of GCT for screening of gestational diabetes in high risk population comparing oralGlucose Tolerance Test (GTT) as gold standard. Main outcome measures: Accuracy of GCT. Study design: Cross-sectional study.Setting: The study was conducted in outpatient department of Punjab Medical College and affiliated hospitals, Faisalabad. Subjects: 207patients. Methods: High risk women from outpatient department were recruited on the basis of inclusion and exclusion criteria afterexplaining pros and cons of procedure. These women were subjected to GCT & GTT. GTT was taken as gold standard test and results ofGCT were compared with it. Main outcome measures recorded and results obtained. Results: Out of 207 women, GCT truly diagnosed 24women as having diabetes (true positive) & 175 women were found to have normal glucose metabolism (true negative). GCT failed todiagnose 5 diabetic women (false negative) & wrongly diagnosed 3 normal women as diabetics (false positive) against gold standardGTT. So GCT has diagnosed Gestational diabetes mellitus with the sensitivity of 82.7%, specificity of 98.3%, positive predictive value of88.8%, and negative predictive value of 97.2% and accuracy of 96.1%. Conclusions: GCT is a simple, easy, convenient and sensitive testthat has no limitation for time or prior fasting for gestational diabetes screening.
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12

Lee, Louise. "Gestational diabetes." Journal of the American Academy of Physician Assistants 34, no. 9 (September 2021): 50–51. http://dx.doi.org/10.1097/01.jaa.0000769696.18262.f5.

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13

Snover, Ayesha, Kinza Alam, Tahir Ahmad Munir, Rabia Sajjad, and Farhat Naz. "GESTATIONAL DIABETES;." Professional Medical Journal 21, no. 02 (December 7, 2018): 360–66. http://dx.doi.org/10.29309/tpmj/2014.21.02.2187.

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Objective: To find sensitivity specificity and diagnostic accuracy of GlucoseChallenge test in diagnosing Gestational Diabetes in Pregnant women. Due to poor socioeconomicaland educational status, dietary habits and ignorance regarding pregnancy relatedproblems probably increase the prevalence and burden of gestational diabetes mellitus (GDM)and its complications in pregnancy. Best and simple strategy to identify women with gestationaldiabetes is still lacking and unclear. Study Design: Cross sectional study. Setting and Duration:This study was performed at Jinnah Hospital Lahore, from Nov 2005 to Dec 2006. Methodology:A glucose challenge test (GCT) was performed on 500 selected pregnant women by giving 50-gglucose in water orally. A serum glucose level ≥140 mg/dl after an hour was taken as positive test.To confirm GDM, 75 g glucose in 200 ml of water was given and sugar levels after 2 hrs byGlucometer, >200 mg/dl confirmed GDM. Results: An increasing trend in age, gestational ageand BMI and a significant difference regarding positive family history of diabetes and graviditywas seen in patients with GDM compared to normal pregnant. The maximum percentage of GDM2 was noted in multigravida, between 25-29 years, BMI >28kg/m , and a gestational age of 28weeks. The sensitivity of GCT was 80%, specificity 97.8%., and diagnostic accuracy was 96.4%.Conclusions: Screening is necessary to identify women with GDM. A 50-g glucose challengetest might be acceptable as a screening test for GDM as it has high sensitivity, specificity anddiagnostic accuracy.
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14

Allen, Steven R. "Gestational Diabetes." Treatments in Endocrinology 2, no. 5 (2003): 357–65. http://dx.doi.org/10.2165/00024677-200302050-00007.

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15

Dunne, F. "Gestational diabetes." Diabetic Medicine 21, s3 (May 2004): 6–8. http://dx.doi.org/10.1111/j.1464-5491.2004.1302d.x.

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16

Hollander, Priscilla. "Gestational diabetes." Postgraduate Medicine 83, no. 8 (June 1988): 48–61. http://dx.doi.org/10.1080/00325481.1988.11700301.

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17

Corcoy, Rosa, Luis Cabero, and Alberto de Leiva. "Gestational diabetes." Postgraduate Medicine 91, no. 5 (April 1992): 393–402. http://dx.doi.org/10.1080/00325481.1992.11701301.

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18

Coustan, D. R. "Gestational Diabetes." Diabetes Care 16, Supplement_3 (December 1, 1993): 8–15. http://dx.doi.org/10.2337/diacare.16.3.8.

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19

Longer, Oded. "Gestational Diabetes." Endocrinologist 5, no. 3 (May 1995): 180–88. http://dx.doi.org/10.1097/00019616-199505000-00005.

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20

Moncrieff, Gill. "Gestational diabetes." British Journal of Midwifery 26, no. 8 (August 2, 2018): 506–13. http://dx.doi.org/10.12968/bjom.2018.26.8.506.

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21

Gou, Bao-Hua, Hui-Min Guan, Yan-Xia Bi, and Bing-Jie Ding. "Gestational diabetes." Chinese Medical Journal 132, no. 2 (January 2019): 154–60. http://dx.doi.org/10.1097/cm9.0000000000000036.

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22

Ogunleye, Oluseyi, Kathryn Davidson, Anthony Gregg, and Robert Egerman. "Gestational Diabetes." Obstetrics & Gynecology 123 (May 2014): 163S—164S. http://dx.doi.org/10.1097/01.aog.0000447166.30027.2d.

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23

Oats, Jeremy N., and Norman A. Beischer. "Gestational Diabetes." Australian and New Zealand Journal of Obstetrics and Gynaecology 26, no. 1 (February 1986): 2–10. http://dx.doi.org/10.1111/j.1479-828x.1986.tb01519.x.

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24

KEEN, HARRY. "Gestational Diabetes." Obstetrical & Gynecological Survey 47, no. 9 (September 1992): 605–7. http://dx.doi.org/10.1097/00006254-199209000-00003.

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25

Vinall, M., and D. R. Hadden. "Gestational Diabetes." MD Conference Express 10, no. 9 (November 1, 2010): 29–30. http://dx.doi.org/10.1177/155989771009013.

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26

Benhalima, Katrien, and Chantal Mathieu. "Gestational diabetes." Current Opinion in Obstetrics and Gynecology 25, no. 6 (December 2013): 462–67. http://dx.doi.org/10.1097/gco.0000000000000028.

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27

Jarrett, R. J. "Gestational Diabetes." Diabetic Medicine 11, no. 10 (December 1994): 992. http://dx.doi.org/10.1111/j.1464-5491.1994.tb00260.x.

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28

Stewart, Zoe A., and Helen R. Murphy. "Gestational diabetes." Medicine 43, no. 1 (January 2015): 44–47. http://dx.doi.org/10.1016/j.mpmed.2014.10.010.

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Lefkovits, Yael R., Zoe A. Stewart, and Helen R. Murphy. "Gestational diabetes." Medicine 47, no. 2 (February 2019): 114–18. http://dx.doi.org/10.1016/j.mpmed.2018.11.006.

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30

Johnstone, F. D. "Gestational diabetes." Current Obstetrics & Gynaecology 9, no. 1 (March 1999): 23–28. http://dx.doi.org/10.1016/s0957-5847(99)90069-0.

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31

Mestman, Jorge, and Guillermo Umpierrez. "Gestational Diabetes." Journal of Clinical Endocrinology & Metabolism 92, no. 6 (June 1, 2007): E1. http://dx.doi.org/10.1210/jcem.92.6.9997.

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32

Vidaeff, Alex C., Edward R. Yeomans, and Susan M. Ramin. "Gestational Diabetes:." Obstetrical & Gynecological Survey 58, no. 11 (November 2003): 759–69. http://dx.doi.org/10.1097/01.ogx.0000093782.25261.ac.

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33

ZIMKUS, jean, joanne m. COX, linda TAMPELLINI, helen PSARAKIS, nancy NICKLESS, nancy m. RYAN, maria OʼCONNOR, and peGgy ROMANIW. "Gestational Diabetes." Nursing Made Incredibly Easy! 6, no. 1 (January 2008): 32–43. http://dx.doi.org/10.1097/01.nme.0000304926.46271.18.

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34

Mack, Lynn R., and Paul G. Tomich. "Gestational Diabetes." Obstetrics and Gynecology Clinics of North America 44, no. 2 (June 2017): 207–17. http://dx.doi.org/10.1016/j.ogc.2017.02.002.

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35

Denney, Jeffrey M., and Kristen H. Quinn. "Gestational Diabetes." Obstetrics and Gynecology Clinics of North America 45, no. 2 (June 2018): 299–314. http://dx.doi.org/10.1016/j.ogc.2018.01.003.

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36

Thayer, Sydney M., Jamie O. Lo, and Aaron B. Caughey. "Gestational Diabetes." Obstetrics and Gynecology Clinics of North America 47, no. 3 (September 2020): 383–96. http://dx.doi.org/10.1016/j.ogc.2020.04.002.

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37

Whitelaw, Ben, and Carol Gayle. "Gestational diabetes." Obstetrics, Gynaecology & Reproductive Medicine 21, no. 2 (February 2011): 41–46. http://dx.doi.org/10.1016/j.ogrm.2010.11.001.

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38

Hunt, Katharine F., Benjamin C. Whitelaw, and Carol Gayle. "Gestational diabetes." Obstetrics, Gynaecology & Reproductive Medicine 24, no. 8 (August 2014): 238–44. http://dx.doi.org/10.1016/j.ogrm.2014.05.005.

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39

Piper, Leanne K., Zoe Stewart, and Helen R. Murphy. "Gestational diabetes." Obstetrics, Gynaecology & Reproductive Medicine 27, no. 6 (June 2017): 171–76. http://dx.doi.org/10.1016/j.ogrm.2017.03.004.

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40

Stewart, Zoe A. "Gestational diabetes." Obstetrics, Gynaecology & Reproductive Medicine 30, no. 3 (March 2020): 79–83. http://dx.doi.org/10.1016/j.ogrm.2019.12.005.

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41

Jarrett, R. J., RuthK Peters, SiriL Kjos, Anny Xiang, ThomasA Buchanan, Peter Kopelman, Hans Knoblauch, and Friedrich Luft. "Gestational diabetes." Lancet 347, no. 9003 (March 1996): 758–60. http://dx.doi.org/10.1016/s0140-6736(96)90108-7.

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42

Riou, Morgan. "Gestational diabetes." Vocation Sage-femme 18, no. 136 (January 2019): 43–45. http://dx.doi.org/10.1016/j.vsf.2018.11.011.

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43

Schneiderman, Ellen H. "Gestational Diabetes." Journal of Infusion Nursing 33, no. 1 (January 2010): 48–54. http://dx.doi.org/10.1097/nan.0b013e3181c6d983.

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44

Hellwig, Jennifer P. "Gestational Diabetes." Nursing for Women's Health 16, no. 2 (April 2012): 113–17. http://dx.doi.org/10.1111/j.1751-486x.2012.01716.x.

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45

Chasan-Taber, Lisa. "Gestational Diabetes." American Journal of Lifestyle Medicine 6, no. 5 (February 15, 2012): 395–406. http://dx.doi.org/10.1177/1559827611434401.

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46

BARNES, LAURA PRESTON. "Gestational Diabetes." MCN, The American Journal of Maternal/Child Nursing 19, no. 3 (May 1994): 176. http://dx.doi.org/10.1097/00005721-199405000-00008.

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47

Kautzky-Willer, Alexandra, and Dagmar Bancher-Todesca. "Gestational Diabetes." Wiener Medizinische Wochenschrift 153, no. 21-22 (November 2003): 478–84. http://dx.doi.org/10.1007/s10354-003-0039-7.

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48

Cheung, N. Wah, and Diana Helmink. "Gestational diabetes." Journal of Diabetes and its Complications 20, no. 1 (January 2006): 21–25. http://dx.doi.org/10.1016/j.jdiacomp.2005.05.001.

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49

Sullivan, Beverly A., Scott T. Henderson, and Julie M. Davis. "Gestational Diabetes." Journal of the American Pharmaceutical Association (1996) 38, no. 3 (May 1998): 364–73. http://dx.doi.org/10.1016/s1086-5802(16)30332-1.

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50

Kuehn, Bridget M. "Gestational Diabetes." JAMA 302, no. 20 (November 25, 2009): 2194. http://dx.doi.org/10.1001/jama.2009.1702.

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