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

Treatment of GDM has been shown to reduce adverse outcomes iadpxg 1448 ]. Global cost-effectiveness of GDM screening and management: Pathophysiology or practice style?

J Assoc Physicians India. Introduction Any degree of glucose intolerance with the onset or first recognition during pregnancy is defined as Gestational Diabetes Mellitus GDM [ 1 ]. International Association of Diabetes and Pregnancy Study Group criteria is suitable for gestational diabetes mellitus diagnosis: Prevalence and Determinants of Gestational Diabetes Mellitus: The St Carbs Gestational diabetes study.

Associations of maternal A1C and glucose with pregnancy outcomes. Citations Publications citing this paper.

BMC pregnancy and childbirth. Possibility to predict early postpartum crtieria abnormality following gestational diabetes mellitus based on the results of routine mid-gestational screening. Applying current screening tools for gestational diabetes mellitus to a European population: In total, 73 women Western Australia [ 42 ].


The high rate implies that Indian population has a higher incidence of DM and impaired glucose tolerance and is at a greater risk of developing GDM.

MetzgerAlan Dyer American journal of obstetrics and gynecology The impact of adoption of the international association of diabetes in pregnancy study group criteria for the screening and diagnosis of gestational diabetes. In summary, studies demonstrate a 1. Introduction of IADPSG criteria for the screening and diagnosis of gestational diabetes mellitus results in improved pregnancy outcome at a lower cost in a large cohort of pregnant women.

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

IDF Diabetes Atlas, 6th edn. Association between serum concentrations of persistent organic pollutants and gestational diabetes mellitus in primiparous women.

Glucose challenge test with 50 gm glucose lacks specificity and leaves Recently, in a secondary analysis of Landon et al. Screening for gestational diabetes mellitus: The rationale of this review is to provide recent updates and to discuss the controversies of screening and diagnosis of GDM.

It is important to screen, diagnose and treat Hyperglycemia in pregnancy to prevent an adverse outcome. A study in a north Indian tertiary center.


The epidemiological parameters like Age, BMI, Parity and Gestational age did not have any difference between two groups.

Considering Indians, who belongs to high risk ethnic group with high prevalence of diabetes, the worldwide recommendations go in favour of universal screening at first registration.

Hyperglycaemia and adverse pregnancy outcomes. 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.

The hyperglycemia and adverse pregnancy outcome HAPO study: The authors concluded that the A1c is not a good screening test for GDM. Skip to search form Skip to main content. Am J Obstet Gynaecol ; They proposed diagnostic criteria for GDM based on 3-hour g glucose OGTT and then they validated these criteria for the development of future DM in the mother [ 10 ].

However, they were unable to recommend any particular GDM screening and diagnostic criteria for global recommendation, due to the high variability in the methodology and results of the studies. Diabetes in a New England town.

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