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September 19, 2025Open Access

A mixed methods assessment of implementation of fluoride-citrate tubes for pregnancy oral glucose tolerance tests: glucose stabilisation improves identification of Aboriginal women requiring pharmaceutical intervention for gestational diabetes

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Authors

ESErica SpryThe University of Western AustraliaEJEmma JamiesonInstitute of Technology AssessmentLALorraine AndersonKimberley Aboriginal Medical Services

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Overview

Mixed methods evaluation shows improved GDM detection using fluoride-citrate tubes in Aboriginal women, highlighting implementation challenges.

Key Points

  • Blood collection in fluoride-citrate tubes significantly improved GDM detection, increasing diagnoses by 2.8-fold compared to prior methods.
  • The study found that 39.3% of GDM cases were diagnosed using fluoride-oxalate tubes, while this increased to 78.1% with fluoride-citrate tubes.
  • Healthcare providers faced challenges like staff turnover and supply chain issues during the implementation of fluoride-citrate tubes for glucose testing.
  • A collective approach between healthcare practices and pathology providers is essential to enhance OGTT accuracy and improve maternal health outcomes.

Cite This Study

Spry et al. (2025) studied this question.

synapsesocial.com/papers/68d466a831b076d99fa650bdhttps://doi.org/10.21203/rs.3.rs-7316550/v1
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