The Treatment Of BOoking Gestational diabetes Mellitus Study: The TOBOGM study

妊娠糖尿病（GDM）相关的妊娠并发症从妊娠24-28周开始治疗减少。许多妇女在早期得到诊断/治疗，但没有证据表明有获益和可能的伤害风险。在TOBOGM中，妊娠20周以下血糖轻度升高的女性将随机分配立即治疗或等待妊娠24-28周时的重复糖尿病检测以决定治疗。将比较对母亲和婴儿的有害和有益影响。

Gestational diabetes mellitus (GDM) related pregnancy complications are reduced with treatment from 24-28 weeks pregnant. Many women are diagnosed/treated earlier without evidence of benefit and possible risk of harm. In TOBOGM women under 20 weeks pregnant with mildly raised blood glucose will be allocated by chance to either immediate treatment, or awaiting a repeat diabetes test at 24-28 weeks pregnant to decide treatment. Harmful and beneficial effects on mother and baby will be compared.