Original Research Article
Year: 2018 | Month: December | Volume: 5 | Issue: 12 | Pages: 332-336
Screening and Diagnosis of Gestational Diabetes Mellitus with Diabetes in Pregnancy Study Group of India Criteria - A Prospective Study in South Indian Population
Dr. Mounika E1, Dr. Chandana Loke2
1Assistant Professor, 2Post Graduate Student,
Department of Obstetrics & Gynecology, Chalmeda Anandrao Institute of Medical Sciences Karimnagar, Telangana, India
Corresponding Author: Dr. Mounika E
ABSTRACT
Background: Gestational diabetes mellitus (GDM) is one of the most common metabolic complications of pregnancy. There is no consensus regarding optimal standard for diagnosis of gestational diabetes mellitus.
Aims and Objectives: To assess and compare 75 gm glucose load in non-fasting state DIPSI criteria for GDM in pregnant women with different oral glucose tolerance tests (OGTS).
Materials and Methods: This prospective study was done on 600 pregnant women. Plasma glucose was evaluated two hours after 75 gm glucose load (DIPSI criteria for GDM). After three days, standard 75 gm OGTT was also done i.e. World Health Organization (WHO) and International Association of Diabetes and Pregnancy Study Groups (IADPSG) criteria. All the results were tabulated and compared.
Results: Plasma glucose value ≥140 mg/dl two hours after glucose load was seen in 45 (7.5%) patients. When compared to WHO and IADPSG criteria, the sensitivity values were 63.3 and 72.4 % respectively and the specificity was 96.3 and 96.9 % respectively.
Conclusion: DIPSI criteria for diagnosing GDM is recommended as it is a one step procedure that is less time consuming, economical and feasible. But it should be used with caution till further validation.
Key words: Diabetes mellitus, Gestational diabetes, Oral glucose tolerance tests, Pregnancy, Screening.
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