International Association of Diabetes and Pregnancy Study Groups Recommendations on the Diagnosis and Classification of Hyperglycemia in Pregnancy

Metzger, Boyd E.; Gabbe, Steven G.; Persson, Bengt; Lowe, Lynn P.; Dyer, Alan R.; Oats, Jeremy; Buchanan, Thomas A.

doi:10.2337/dc10-0719

Cited by 1,703 publications

(1,335 citation statements)

References 4 publications

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“…Studies have shown that the glucose meter is an effective tool for control of blood glucose, useful for the monitoring and prevention of complications from diabetes, such as hypoglycemia and hyperglycemia. 1 To achieve the best results, it is essential that patients are able to properly use the glucose meter and receive guidance for the interpretation of the values and minimize the difficulties encountered. The frequency and times at which the device should be used must be oriented due to the personal needs and goals established for the treatment of each patient.…”

Section: Resultsmentioning

confidence: 99%

“…32 Dietary guidance is extremely important to GDM, because it consists of an initial treatment and enables appropriate weight gain and effective metabolic control. 1 To raise awareness among pregnant women with respect to their nutrition and food intake, it is essential to a reorganize eating habits promoting better control of diabetes. As such, there needs to be integration between food intake and the other care performed by the patient.…”

Section: Resultsmentioning

confidence: 99%

“…1,2 It is an important morbidity due to its significant complications for pregnant women and embryos, with estimated prevalence of 7.6 to 17.8% depending on the criteria used. 1,3,[4][5][6][7] Currently, the diagnosis of GDM is confirmed when the fasting glucose at the first prenatal consultation is between 92 and 125 mg/dL or when at least one of the glucose values in the oral glucose tolerance test of 75 g (OGTT-75 g) is equal to or above the reference values, which are: fasting ≥ 92 mg/dL, 1 hour after glucose overload ≥ 180 mg/dL and 2 hours after ≥ 153 mg/dL, which is conducted on pregnant women with a gestational age between the 24 th and 28 th week of pregnancy. 1 The time interval between diagnosis and delivery, especially when this is established through glucose tolerance test conducted between 24 and 28 weeks is very short, requiring the patient to adapt quickly to their new condition depending significantly on their self-perception and state of health.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of information retention and adherence to treatment in patients with gestational diabetes mellitus after multidisciplinary group

Sousa

Fiuza

Mikami

et al. 2016

Rev. Assoc. Med. Bras.

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Objective:To evaluate the retention of information after participation in multidisciplinary group in patients with gestational diabetes mellitus (GDM) through a phone contact. Method: 122 pregnant women diagnosed with gestational diabetes were included. After diagnosis of gestational diabetes, the patients were referred to the multidisciplinary group where they received medical, nutrition and nursing guidelines related to the disease. After three days these patients received one telephone call from a nurse, who made the same questions regarding the information received. In the statistical analysis, results were presented as absolute and relative frequencies. Results: Most patients 119/122 patients (97.5%) were managing to do self glucose monitoring. Twenty-one patients (17.2%) reported having difficulty performing the blood glucose, especially finger pricking. When questioning whether the woman was following the proposed diet, 24/122 (19.7%) patients said they did not; the meal frequency was not reached by 23/122 (18.9%) of the women, and forty-seven (38.5%) of the women reported having ingested sugar in the days following the guidance in multidisciplinary group. Conclusion: Regarding the proposed treatment, there was good adherence of patients, especially in relation to blood glucose monitoring. As for nutritional control, we observed greater difficulty in following the guidelines demonstrating the need for long-term monitoring, as well as further clarification to the patients about the importance of nutrition in diabetes management.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Evaluation of information retention and adherence to treatment in patients with gestational diabetes mellitus after multidisciplinary group

Sousa

Fiuza

Mikami

et al. 2016

Rev. Assoc. Med. Bras.

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“…Association of the Diabetes in Pregnancy Study Groups (IADPSG) recommended a new diagnostic criteria which uses lower glucose cut-off thresholds used to diagnose women with GDM (Metzger et al 2010). Much debate has followed as recommended changes to diagnostic criteria will impact on the workload for the multidisciplinary diabetes care team by an estimated 22-32%, in settings which are already overstretched (Flack et al2010).…”

Section: Diagnosis Of Gestational Diabetes Mellitus (Gdm) Is Usuallymentioning

confidence: 99%

Exploring the needs, concerns and knowledge of women diagnosed with gestational diabetes: A qualitative study

et al. 2016

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General rights Copyright for the publications made accessible via the Queen's University Belfast Research Portal is retained by the author(s) and / or other copyright owners and it is a condition of accessing these publications that users recognise and abide by the legal requirements associated with these rights. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting galley proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. 3 An increased knowledge of the needs and concerns of women with GDM would provide the multidisciplinary diabetes care team and other health care professionals (HCP's), including midwives, with a better understanding on how to support, encourage and educate women to manage their condition more effectively. Long term this could potentially improve pregnancy outcome, helping to reduce the future risk of type 2 diabetes in this population and subsequently pressure on healthcare systems. The aim of this study is therefore to explore the concerns, needs and knowledge of women diagnosed with GDM. Research design and methodsThis qualitative study used focus group methodology, to encourage the generation of ideas and expression of shared experiences and common viewpoints within a group of peers. Eligible participants were identified by the Diabetes Care Team at three National HealthService (NHS) hospitals in the United Kingdom. Women were given an invitation letter at a routine clinic appointment, and those interested in participating completed a permission slip, which allowed the researcher to contact them, and invite them to attend a focus group.Women aged 18-45 years and currently pregnant with GDM, or with a history of GDM in a recent pregnancy (up to 12 months post-natal) were eligible to participate. Those unable to adequately understand verbal explanations in English or who had special communication needs were excluded.Eighty-one women expressed an interest in attending a focus group. Sessions were scheduled at various times and venues in an attempt to suit women and their working and family lives.From this number 38 were enrolled on the study. The remaining women who had expressed an interest in participating were either not able to make it to the scheduled focus group or were no longer contactable. Of the 38 enrolled, five were unwell or in hospital on the day, two delivered before the scheduled session and twelve did not attend the focus group. Focus group discussion topicsThe following topic areas were discussed with the women: 1) current knowledge of GDM; 2)anxiety following the diagnosis of GDM, and whether this changed overtime; 3) understanding and managing GDM and 4) the future impact of GDM. Descriptive qualitative analys...

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“…Recent studies have shown a 20-fold increase in the prevalence of GDM. A further 4-fold increase in prevalence is anticipated (3,4) after adoption of the new diagnostic criteria suggested by the International Association of Diabetes and Pregnancy Study Groups (IADPSG) (1,5). The presence of GDM means that many infants are exposed to hyperglycemic conditions in utero which can cause neonatal adiposity and metabolic disorders later in life.…”

Section: G Estational Diabetes Mellitus (Gdm) Is Impairedmentioning

confidence: 99%

Relation between fetal anthropometric parameters and cord blood adiponectin and high-sensitivity C-reactive protein in gestational diabetes mellitus

Aramesh

Dehdashtian

Malekian

et al. 2017

Arch. Endocrinol. Metab.

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Objectives:The objectives were to evaluate the relation between fetal anthropometric parameters and cord blood concentration of adiponectin and high sensitivity C-reactive protein (hs-CRP). Subjects and methods: A total of 104 pregnant women (52 with gestational diabetes mellitus [GDM], 52 with normal glucose tolerance (NGT) participated. Venous cord blood samples were obtained at delivery, centrifuged and the plasma was stored at -20°C. The samples were assessed for adiponectin and hs-CRP using the ELISA method. Statistical analysis was done using SPSS software. Results: The adiponectin concentration was higher in the GDM group than in the NGT group (11.05 ± 4

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International Association of Diabetes and Pregnancy Study Groups Recommendations on the Diagnosis and Classification of Hyperglycemia in Pregnancy

Cited by 1,703 publications

References 4 publications

Evaluation of information retention and adherence to treatment in patients with gestational diabetes mellitus after multidisciplinary group

Evaluation of information retention and adherence to treatment in patients with gestational diabetes mellitus after multidisciplinary group

Exploring the needs, concerns and knowledge of women diagnosed with gestational diabetes: A qualitative study

Relation between fetal anthropometric parameters and cord blood adiponectin and high-sensitivity C-reactive protein in gestational diabetes mellitus

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