Comparison of DIPSI guidelines versus conventional OGTT for diagnosis of gestational diabetes mellitus

Desai, Grishma; Sonawane, Pundalik

doi:10.18203/2320-1770.ijrcog20183311

Cited by 3 publications

(1 citation statement)

References 7 publications

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“…In the present study, GDM was seen in 11 cases (11% Overall studies have reported a prevalence rate of 1-19% among pregnancies for GDM. 5 Thirty-three (33%) patients of the study population were tribal and remaining 67 (67%) were non-tribal. Among 33 tribal patients, four patients had GDM.…”

Section: Discussionmentioning

confidence: 96%

Prevalence of gestational diabetes mellitus and its association with various risk factors in a tertiary care hospital in tribal population of Jharkhand

Dutta¹,

Bharti²

2022

Asian J Med Sci

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Background: Gestational diabetes mellitus (GDM) is associated with hypertension, preeclampsia, stillbirth, macrosomia, unexplained intrauterine death, instrumental and traumatic delivery leading to both maternal and foetal injuries, and increased risk of maternal and neonatal infections. The present study was conducted at Rajendra Institute of Medical Sciences, Ranchi to determine the prevalence of Gestational Diabetes Mellitus(GDM) and its associated risk factors in tribal population of Jharkhand. Aims and Objectives: The aim of the study was to determine the prevalence of GDM and to analyze its association with various risk factors. Materials and Methods: Detailed history of all patients was taken with emphasis on genetic and family history and history of the previous pregnancies. All the patients were screened by the single step 75 gm 2 hours oral glucose tolerance test (OGTT) as recommended by the World Health Organization. GDM was diagnosed if 2 hours PG is ≥140 mg/dL. Results: Most patients of GDM were from upper middle class 45.45%, followed by lower middle class (27.27%) and upper lower class (18.18%). For the non-GDM patients, most patients were from upper lower class (55.055%), followed by upper middle (24.71%). The prevalence of GDM was 12.12 % in the tribal population as compared to non-tribal population (10.44 %). In present study, in majority (89.00 %) of study subjects, result of 75 gm OGTT was negative. Result of 75 gm OGTT was positive in only 11 out of 100 study subjects (11.00 %). Conclusion: Tribal population in Jharkhand has very poor access to health-care services of the state. This study is first of its kind in our state which will set as an eye opener to further deliver better health-care facilities at grassroot level in Jharkhand.

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Section: Discussionmentioning

confidence: 96%

Prevalence of gestational diabetes mellitus and its association with various risk factors in a tertiary care hospital in tribal population of Jharkhand

Dutta¹,

Bharti²

2022

Asian J Med Sci

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Diagnostic efficiency of diabetes in pregnancy study group of India versus World Health Organization 2013 criteria

Rakibul-Hasan

Sultana

Jahan

et al. 2020

Int J Diabetes Dev Ctries

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Comparision of Diagnostic Accuracy of Non – Fasting Dipsi and Hbaic With Fasting Who Criteria for Diagnosis of Gestational Diabetes Mellitus

Revu

Banoth²,

Somu³

2022

PIJR

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Background Gestational Diabetes Mellitus [GDM] is dened as Carbohydrate intolerance with recognition or onset during pregnancy and resolves postpartum. Prevalence of GDM in India varies from 3.8 - 21% with different demography and diagnostic methods used. As early diagnosis and control of maternal hyperglycaemia plays a vital role in prevention of adverse outcomes, universal screening is almost mandatory due to high prevalence, we need a simple economical, feasible test with higher sensitivity to diagnose GDM. Aim To compare diagnostic accuracy of two nonfasting tests DIPSI & HBAIC and fasting WHO criteria for diagnosis of GDM. Objectives To compare DIPSI with WHO criteria as standard. To compare HBA1C with WHO criteria as standard Results: This study was done on 100 ANC cases to compare diagnostic accuracy of DIPSI & HBAIC with fasting World Health Organization Glucose Tolerance Test. Mean age of participants was 27.18±4.60 years. 39% patients were in age group of 21 to 25 years and 34% patients were in age group of 26 to 30 years. Majority (45%) of the patients were in gestational age of 26 to 30 weeks. In this study, gestational diabetes mellitus was diagnosed in 47 (47%) patients according to WHO GTT, in 48 (48%) patients according to DIPSI and in 34 (34%) patients according to Glycated Haemoglobin. Mean gestational age of patients during diagnosis of gestational diabetes mellitus was 29.21±2.84 weeks by DIPSI, 28.83±2.82 weeks by WHO GTT and 29.29±3.15 weeks by Glycated Haemoglobin. Mean blood sugar parameters of gestational diabetes mellitus women were 174.96±16.58 mg/dl by DIPSI, 173.21±17.58 mg/dl by WHO GTT and 9.41±1.91 gm% by Glycated Haemoglobin. The sensitivity of DIPSI with regard to WHO GTT was 89.36%, specicity 88.68%, positive predictive value 87.50%, negative predictive value 90.38%, diagnostic accuracy 89.00% and chi square value of 60.78. These values convey that DIPSI is as good as gold standard WHO GTT criteria. The sensitivity of Glycated Haemoglobin with regard to WHO GTT was 51.06%, specicity 81.13%, positive predictive value 70.59%, negative predictive value 65.15%, diagnostic accuracy 67.00% and chi square value of 11.51. These values convey that Glycated Haemoglobin is not as good as gold standard WHO GTT. Conclusions: Based on ndings from this study it can be concluded that DIPSI is equally as good as World Health Organization Glucose Tolerance Test criteria in diagnosing gestational diabetes mellitus in antenatal women of south India. Since DIPSI does not require fasting it is more feasible than World Health Organization criteria. Glycated haemoglobin estimation is another test to detect diabetes mellitus which does not require fasting however its results are not close to gold standard WHO criteria unlike DIPSI.

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Comparison of DIPSI guidelines versus conventional OGTT for diagnosis of gestational diabetes mellitus

Cited by 3 publications

References 7 publications

Prevalence of gestational diabetes mellitus and its association with various risk factors in a tertiary care hospital in tribal population of Jharkhand

Prevalence of gestational diabetes mellitus and its association with various risk factors in a tertiary care hospital in tribal population of Jharkhand

Diagnostic efficiency of diabetes in pregnancy study group of India versus World Health Organization 2013 criteria

Comparision of Diagnostic Accuracy of Non – Fasting Dipsi and Hbaic With Fasting Who Criteria for Diagnosis of Gestational Diabetes Mellitus

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