General diagnostic criteria used in our country for determination of gestational diabetes mellitus (GDM) involve Diabetes in Pregnancy Study. PDF | Objective: To evaluate the International Association of Diabetes and Pregnancy Study Groups (IADPSG) criteria versus the American. Since the DIPSI criteria would miss a substantial number of patients, we suggest that the IADPSG criteria are better for screening of GDM in.

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Associations with neonatal anthropometrics. Norway [ 29 ]. One value sufficient for diagnosis, Two or more values required for diagnosis. The prevalence of GDM varied from vriteria A FPG of 4.

Screening and Diagnosis of Gestational Diabetes Mellitus, Where Do We Stand

Advanced Search Users Online: So, there is a need for cost-effective universal screening and diagnostic method. This one step method has crlteria of simplicity in execution, more patient friendly, iaddpsg in diagnosis and close to international consensus. In the year an international multicentre cohort study was done, comprising of 25, pregnant women, who were tested with a 2-hour 75g OGTT and were followed throughout pregnancy to detect primary and secondary outcomes HAPO study.

Do not use fasting plasma glucose, random blood glucose, HbA 1 C, glucose challenge test or urine analysis for glucose to assess risk of developing GDM.

Cesarean delivery in relation to birth weight and gestational glucose tolerance: National Center for Biotechnology InformationU.

Adequate and brisk insulin response in normal women maintains euglycaemic state despite glucose challenge where as women with GDM have an increase in glycaemic levels with glucose challenge due to impaired insulin secretion [ 14 ].

Placental hormones mediate insulin resistance which increases GDM as the pregnancy advances so testing too early may not be helpful in some patients. Risk factors for GDM include the following: Association between serum concentrations of persistent organic pollutants and gestational diabetes mellitus in primiparous women.


Heterogeneity of glycometabolism in patients with gestational diabetes mellitus: Screening and diagnostic methods can be universal or risk based one step or two step procedure.

Diagnosis of gestational diabetes mellitus in Nigerian pregnant women: In a study of ethnically homogenous Czech women, the postpartum prevalence of abnormal glucose in women diagnosed with GDM was It is important to note that this is a predominantly Arabic population and there is variation in the fasting versus postprandial glucose patterns based on ethnicity. Ireland [ 34 ]. Article Tools Print this article. Author information Copyright and License information Disclaimer.

Women with one abnormal value were not treated. When compared to Caucasian women and also among ethnic group in south Asian countries, Indian women have the high frequency of GDM [ 12 ].

Summary Data support the use of IADPSG criteria, if the cost of diagnosis and treatment can be controlled and if lifestyle can be optimized to reduce the risk of future diabetes. The first challenge was to establish dichotomous targets for the fasting, 1- and 2-h values even though the risks of adverse outcomes demonstrated strong linear relationships with these variables. A multicenter, randomized trial of treatment for mild gestational diabetes.

Journal of obstetrics and gynaecology: A1c had the poorest test characteristics. Open in a separate window. Diagnosis of gestational diabetes mellitus in the community.

Gestational diabetes in the United States: The hyperglycemia and adverse pregnancy outcome HAPO study: Risk factors for GDM differ depending on criteria used.

Screening and Diagnosis of Gestational Diabetes Mellitus, Where Do We Stand

Based on these facts ixdpsg is a need for universal screening especially in South east Asians countries more so in Indian women as they have high prevalence of Type II DM and genetic predisposition.


Venous plasma glucose values also depend on the timing of the day when it was done. Screening and Crieria Criteria: The impact of adoption of the international association of diabetes in pregnancy study group criteria for the screening and diagnosis of gestational diabetes.

This definition helps for diagnosis of unrecognized pre-existing Diabetes also. One step screening procedure for screening and diagnosis of gestational diabetes mellitus. The authors recommend identifying women with FPG 6.

Criteira [ 32 ]. Diurnal variation of glucose tolerance cyclic suppression of insulin action in normal weight but not obese subjects. Financial implications were not addressed. From This Paper Figures, tables, and topics from this paper.

There was need to update WHO criteria [ 11 ]. Articles from Journal of Clinical and Diagnostic Research: DIPSI Diabetes in Pregnancy Study Group India A universal screening which is simple, feasible, acceptable and a single step procedure is applicable in Indian scenario as Indian women have an eleven fold increased risk of developing glucose intolerance during pregnancy. The authors chose the level II criteria 2SD above the mean as the best choice for predicting the development of DM2 as it reflected the results of the cortisone OGTT [ 7 ], a method shown at that time by Conn and Fajans to predict the development of DM2 and the prevalence of DM2 in a community [ 8 ].

BMC pregnancy and childbirth. Diabetes Care ;31 Suppl 1: