Again you focus on the perinatal outcome and not the symptomatic outcomes during the period of hyperglycaemia for the mother. I totally agree that perinatal outcomes may not be affected but what I disagree with is the fact that this article and yourself appear to be advocating no treatment for hyperglycaemia which can be a very dangerous condition if left untreated. Note I use the term hypoglycaemia..you are right the term diabetes is bandied about and causes confusion......there is even debate as to whether type 1 and type 2 diabetes should even have the same name they are so different in many respects. It concerns me that people who have no extensive knowledge of this condition are making assumptions based on reading a few articles not and are not comprehensively educated about the condition. It would be like me taking the stance that why bother treating mild asthma as it wont affect the outcome for the baby but the mother is sure as hell gonna feel a lot better not wheezing, coughing and having no energy all the time.
I don't know enough about the mechanics of asthma to make that judgement and neither do you or Henci or anyone who has not suffered the condition of hyperglycaemia or has not undergone extensive training into what is an incredibly complex metabolic function, have the right to advocate for no treament of this condition. The article is dangerous, people who don't know any better will read this and think cool I can just ignore these high sugars. It only becomes an article of value and insight when it is coupled with all the other facts and ramifications of this condition - perinatal outcome is only a small percent of what GD,D,asthma or any condition for that matter is about. should we ignore all medical conditions that don't affect perinatal outcome...I don't think so. How would you feel if soomeone who is less educated abut hyperglycaemia and GD reads this article and then decides that they don't have to treat their GD and then ends up in a coma from ketoacidosis? I know I would never forgive myself. I am all for articles like this that prompt you to think and question but they need to be presented along all the other relevant information so as not to unwittingly steer people down the wrong path for the right reasons. Perhaps articles on what hyperglycaemia is and how it can be treated, articles on the GI diet which is excellent for EVERYONE in all walks of life not just people with GD (even elite athletes use its principles to maximise performance), things like that will show a balanced approach to this issue.