Gestational diabetes: a non-entity?

Jarrett, R. J.

doi:10.1136/bmj.306.6869.37

Cited by 109 publications

(48 citation statements)

References 11 publications

(1 reference statement)

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“…There are numerous risk factors that may be identified in various ethnic groups. In the literature there have been for many years great controversies regarding criteria of diabetes and the diagnosis itself [14]. According to some authors gestational diabetes means hyperglycaemia during pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Gestational diabetes mellitus/hyperglycaemia during pregnancy in Poland in the years 2010–2012 based on the data from the National Health Fund

et al. 2017

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Objectives: The incidence of gestational diabetes varies depending on a country and it is extremely difficult to analyse. The aim of the study was to assess the incidence of gestational diabetes in Polish population. Material and methods:Based on the data from the National Health Fund (NHF) the authors analysed reports regarding deliveries performed and then, determined the rates of gestational diabetes/hyperglycaemia during pregnancy and pregestational diabetes in Poland in the years 2010-2012. Results and conclusions:In Poland, the incidence of gestational diabetes was estimated to be

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Section: Discussionmentioning

confidence: 99%

Gestational diabetes mellitus/hyperglycaemia during pregnancy in Poland in the years 2010–2012 based on the data from the National Health Fund

et al. 2017

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“…This has resulted in much confusion and a lack of comparability between studies [53][54][55][56][57][58][59][60][61][62][63] [66,67]. Data obtained using each of these methods has been associated with maternal-fetal outcome [64,[68][69][70][71], and in some cases, to long-term outcome in the child [72][73][74][75].…”

Section: Diagnosis Of Diabetes In Pregnancymentioning

confidence: 99%

Diagnosing diabetes mellitus - do we need new criteria?

et al. 1997

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“…Much confusion surrounds the topic of screening for glucose intolerance during pregnancy [4][5][6] in terms of should the condition be screened and if yes who should be screened and how to screen. The new recommendation for screening of GDM are based on an initial clinical assessment of individual risk in all pregnant patients as laid down by IVth international conference on GDM addition.…”

Section: Discussionmentioning

confidence: 99%

“…3 Much confusion surrounds the topic of screening for glucose intolerance-hyperglycemia during pregnancy in terms of who should be screened how to screen, and management of those with positive results. [4][5][6] If the aim is to detect the more severe cases of gestational diabetes mellitus (GDM), the diabetes mellitus (DM) group, a screening program resulting in a low rate of performed oral glucose tolerance test (OGTT) and a high sensitivity is desirable. With serious conditions, the screening program should have a high sensitivity test.…”

mentioning

confidence: 99%

Comparative Study of Fasting Plasma Glucose Concentration and Glucose Challenge Test for Screening Gestational Diabetes Mellitus

Sham¹,

Bhat²,

Kamath³

2014

Journal of South Asian Federation of Obstetrics and Gynaecology

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Background: To compare the sensitivity and specificity of fasting plasma glucose (FPG) with that of standard glucose challenge test (GCT). Materials and methods:Eighty-nine eligible pregnant women underwent GCT between 24th and 28th gestational week, followed by a diagnostic 3 hours 100 gm oral glucose tolerance test within 1 week. Out patient clinic in Father Muller Medical College Hospital, Mangalore. Data was analyzed for significance by chi-square test.Results: Fasting plasma glucose concentration at a threshold value of 90 mg/dl and GCT at recommended standard threshold of 140 mg/dl yielded sensitivities of 66.7% and 100% respectively and specificities of 87.3% and 46.5% respectively. Reducing the threshold value of FPG to 80 mg/dl increased the sensitivity of test to 91.7% with specificity of 54.9% which was comparable to standard GCT, in our study. Conclusion:Measuring FPG concentration using a cut-off of ≥ 80 mg/dl is an easier, tolerable and more cost effective procedure than GCT for detecting more severe cases of GDM, i.e. the diabetes mellitus group. In resource poor settings with population belonging to average risk or high risk category, FPG at a cut-off of 90 mg/dl can be used to screen GDM.

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Gestational diabetes: a non-entity?

Cited by 109 publications

References 11 publications

Gestational diabetes mellitus/hyperglycaemia during pregnancy in Poland in the years 2010–2012 based on the data from the National Health Fund

Gestational diabetes mellitus/hyperglycaemia during pregnancy in Poland in the years 2010–2012 based on the data from the National Health Fund

Diagnosing diabetes mellitus - do we need new criteria?

Comparative Study of Fasting Plasma Glucose Concentration and Glucose Challenge Test for Screening Gestational Diabetes Mellitus

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