The goal of this prospective study is to determine whether there is superiority of 10 Twizzlers to the 50 gram glucola beverage for screening for GDM in a population based study.
Pregnant
24 to 28 weeks gestation
Singleton or twin or triplet gestation
Willing to participate in the study
Known Type II DM
Known Type I DM
On oral or injectable corticosteroids
50 gram glucola beverage GCT of greater than or equal to 190 mg/dl
Parallel
Standard Glucola GCT
Dietary supplementParticipants will be screened with the standard method of consumption of the glucola beverage followed by a 1 hour venous blood draw.
Twizzlers challenge
Dietary supplementParticipants will consume the Twizzlers equivalent (10 strawberry flavored Twizzlers) and have their venous blood glucose checked in 1 hour.
The serum glucose levels will be measured in response to oral glucose challenge and compared between Twizzlers and glucola beverage.
Each participant will have a blood draw to check the serum glucose level.
Cost-effectiveness
The cost-effectiveness of Twizzlers over the glucola beverage will be measured in a small gravid cohort by taking into account the cost per unit of Twizzlers versus glucola.
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