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.
|Published (Last):||28 June 2011|
|PDF File Size:||8.56 Mb|
|ePub File Size:||15.11 Mb|
|Price:||Free* [*Free Regsitration Required]|
J Clin Diagn Res. Prevalence of hyperglycemia and undiagnosed diabetes mellitus in patients with acute myocardial infarction.
Am J Obstet Gynecol. In part, due to the linear relationship of glucose levels with higher frequencies of adverse outcomes, the choice of IADPSG thresholds has been debated, balancing risks and costs against benefit. GDM1 had one abnormal glucose value in ranges for fasting 5.
Impact of increasing carbohydrate intolerance on maternal-fetal outcomes in women without gestational diabetes. J Assoc Physicians India. Int J Diabetes Dev Ctries.
World Health Organization; [Internet] Available from: Risk factors for GDM include the following: By seeing all these criteria and guidelines where do we stand? Conclusion Screening and diagnosis of GDM and treating it effectively not only prevent adverse maternal and perinatal outcome but also iadpzg diabetes in both mother and child.
J Clin Endocrinol Metab. Dipsi Diagnostic criteria in detecting gestational diabetes mellitus.
Welcome to IADPSG
In a month study, women were tested. The financial implications of IADPSG may be offset by lowering costs of diagnosis and crieria and improving effectiveness of treatment, particularly in higher risk populations.
Nigeria [ 30 ]. IADPSG consensus panel after iacpsg the results of HAPO and other studies which were associated with maternal glycaemia and perinatal and long term outcomes in offspring recommended the most commonly used guidelines for the diagnosis of GDM.
Criterix this was pathologic was debated. One of the biggest criticism about the IADPSG criteria has been that it increases the number of women diagnosed as GDM as it uses a rather low fasting plasma glucose cut off. Vietnam [ 36 ]. Will a single glucose value be diagnostic to serve as a standard of care? J Pharm Sci Res.
Screening and Diagnosis of Gestational Diabetes Mellitus, Where Do We Stand
In the s, laboratories moved to measure glucose in plasma. However, annual WLUs were only 18, using the one-step method versus 28, using the two-step method.
To determine if GDM, is present a standard OGTT should be performed with 75g anhydrous glucose in ml crriteria water after overnight fasting of hours.
High prevalence of DM and genetic predisposition to metabolic syndrome cirteria Asians, particularly in Indian women, predisposes women to develop GDM and its complications. Who should be screened for GDM: 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.
Pregnancy outcomes in women with gestational diabetes compared with the general obstetric population. Email this article Login required.
After reviewing all the related articles on GDM, one important aspect which comes to mind is that the Indian population is diverse and variable, hence judging international criteria on Indian population may not be conclusive. Whatever method used it is important to do universal screening in Southeast Asians countries. In first and early second trimester fasting and postprandial glucose concentrations are normally lower than in normal non-pregnant women.
User Username Password Remember me. It identified all the patients in the cohort who had overt diabetes. World Health Organization; Mexico [ 46 ].