Gestational diabetes is a big topic, and with a little person crawling all over me and my laptop, I won't have time to address every aspect of it. Okay, standard mother disclaimer over...
This article from the BMJ, Should we screen for gestational diabetes?, addresses some of the main issues about GD: when and how is screening or treatment effective (health-wise and financially)? Michel Odent's overview of GD in my previous post also raises some interesting questions and issues.
One objection many women have about GD testing is that the test itself is an intervention that changes the body's normal physiology (it involves drinking a large amount of sugar, then testing blood sugar levels X amount of hours afterwards). It also has the potential to create additional stress and worry during pregnancy and, as Michel Odent notes, its possible nocebo effect is something to take into consideration.
Zari needs more attention right now, so I'll have to cut this post short. I'd be interest/ ed to hear other input about GD screening/treatment: benefits, risks, alternatives, etc. If you are a midwife or physician, what information to you give to your clients about GD testing? What do you recommend? If you have given birth, what did you decide to do about GD screening and/or treatment?