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Santosh University Journal of Health Sciences


Prevalence of Gestational Diabetes using International Association of Diabetes and Pregnancy Study Groups (IADPSG) Criteria in a North Indian Population


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Author Details: Amita Sharma, Alpana Agarwal, Manisha Gupta

Volume : 2

Issue : 1

Online ISSN : 2455-1732

Print ISSN :

Article First Page : 5

Article End Page : 8


Abstract

Back ground: There is debate as to the most appropriate diagnostic criteria to diagnose gestational diabetes mellitus (GDM). The proposed International Association of Diabetes and Pregnancy Study Groups (IADPSG) criteria have recently been endorsed by various bodies, but there remains no national consensus. We studied the prevalence and associations of GDM in North Indians, diagnosed by the IADPSG criteria.
Patients and Methods: We conducted a prospective observational study on 417 pregnant women. The women were screened for GDM between 24 weeks and 28 weeks of gestation by 75g oral glucose tolerance test (OGTT) and GDM diagnosed by the IADPSG criteria. 
Results: The prevalence of GDM was 17.7% [95% Confidence interval (CI) 21.4 -14.1%] using the IADPSG criteria. Amongst the women diagnosed to have GDM, 64.9% had abnormal fasting plasma glucose (FPG), while 1-h and 2-h post-glucose (PG) levels were abnormal in 43.2% and 28.4% of women, respectively. Factors like age and family history of diabetes were significantly associated with GDM.
Conclusions: There is a very high prevalence rate of GDM using the IADPSG criteria in North Indian women. Further studies are needed to assess the utility of applying these criteria in our setting.

Keywords:
 Gestational Diabetes Mellitus (GDM), International Association of Diabetes and Pregnancy Study Groups (IADPSG), Pregnancy