{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T14:48:06Z","timestamp":1791384486849,"version":"4.3.3"},"reference-count":25,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2024,1,13]],"date-time":"2024-01-13T00:00:00Z","timestamp":1705104000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,7,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>A1C \u22656.0% is associated with increased risk of adverse outcomes in pregnant diabetic patients. A1C testing is recommended by the American Diabetes Association as a secondary measure of glycemic control in pregnant patients.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To determine the utility of A1C point-of-care testing (POCT) during pregnancy to facilitate rapid counseling and diabetes care, particularly in relatively low-income transient patient populations.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We performed a single-center, retrospective analysis of patients presenting to an outpatient obstetrics office with routine, in-laboratory A1C testing, before and after the implementation of POCT for A1C (n = 70 and n = 75, respectively). Demographics, results, physician referral to a nutritionist, counseling, and outcomes were retrieved from patient electronic medical records.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>In total, 9% and 23% of the in-laboratory and POCT groups, respectively, were referred for nutrition services (P = .02). Of these, 22% of the in-laboratory group and 42% of the POCT group received immediate counseling (P &amp;lt; .01). An inverse correlation was observed between A1C level at study entry and gestational weeks at delivery, with a Pearson r value of \u22120.39 (\u22120.58 to \u22120.16) for the in-laboratory group and \u22120.38 (\u22120.57 to \u22120.14) for the POCT group. No statistically significant difference in pregnancy outcomes was observed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Implementation of A1C POCT was associated with immediate counseling and management of the health of pregnant patients, but was not associated with improved outcomes, in a low-resource patient population.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/labmed\/lmad112","type":"journal-article","created":{"date-parts":[[2024,1,13]],"date-time":"2024-01-13T15:42:55Z","timestamp":1705160575000},"page":"464-470","source":"Crossref","is-referenced-by-count":2,"title":["Implementing point-of-care hemoglobin A1C testing in an obstetrics outpatient clinic"],"prefix":"10.1093","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3168-3305","authenticated-orcid":false,"given":"Homayemem","family":"Weli","sequence":"first","affiliation":[{"name":"Department of Pathology & Immunology, Washington University , St Louis, MO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7169-3850","authenticated-orcid":false,"given":"Christopher W","family":"Farnsworth","sequence":"additional","affiliation":[{"name":"Department of Pathology & Immunology, Washington University , St Louis, MO"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,1,13]]},"reference":[{"issue":"1","key":"2024070305531152700_CIT0001","doi-asserted-by":"crossref","first-page":"16","DOI":"10.15585\/mmwr.mm7201a4","article-title":"QuickStats: percentage of mothers with gestational diabetes, by maternal age \u2014 National Vital Statistics System, United States, 2016 and 2021","volume":"72","year":"2023","journal-title":"MMWR Morb Mortal Wkly Rep."},{"issue":"43","key":"2024070305531152700_CIT0002","doi-asserted-by":"crossref","first-page":"1201","DOI":"10.15585\/mmwr.mm6743a2","article-title":"Prevalence and changes in preexisting diabetes and gestational diabetes among women who had a live birth \u2014 United States, 2012\u20132016","volume":"67","author":"Deputy","year":"2018","journal-title":"MMWR Morb Mortal Wkly Rep."},{"issue":"4","key":"2024070305531152700_CIT0003","doi-asserted-by":"crossref","first-page":"481","DOI":"10.4103\/2230-8210.183478","article-title":"Glycemic control and pregnancy outcomes in patients with diabetes in pregnancy: a retrospective study","volume":"20","author":"Buhary","year":"2016","journal-title":"Indian J Endocrinol Metab"},{"issue":"12","key":"2024070305531152700_CIT0004","doi-asserted-by":"crossref","first-page":"2208","DOI":"10.2337\/diabetes.49.12.2208","article-title":"Intrauterine exposure to diabetes conveys risks for type 2 diabetes and obesity: a study of discordant sibships","volume":"49","author":"Dabelea","year":"2000","journal-title":"Diabetes."},{"issue":"8","key":"2024070305531152700_CIT0005","doi-asserted-by":"crossref","first-page":"1683","DOI":"10.2337\/dc11-0244","article-title":"Optimal glycemic control, pre-eclampsia, and gestational hypertension in women with type 1 diabetes in the Diabetes and Pre-Eclampsia Intervention Trial","volume":"34","author":"Holmes","year":"2011","journal-title":"Diabetes Care."},{"issue":"1","key":"2024070305531152700_CIT0006","doi-asserted-by":"crossref","first-page":"34","DOI":"10.2337\/dc14-1755","article-title":"Glycemic targets in the second and third trimester of pregnancy for women with type 1 diabetes","volume":"38","author":"Maresh","year":"2015","journal-title":"Diabetes Care."},{"issue":"Suppl 1","key":"2024070305531152700_CIT0007","first-page":"S232","article-title":"15. 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