PMID- 23405515
OWN - NLM
STAT- MEDLINE
DCOM- 20130319
LR  - 20151119
IS  - 0004-5772 (Print)
IS  - 0004-5772 (Linking)
VI  - 60
DP  - 2012 Aug
TI  - Diagnosis of gestational diabetes mellitus in the community.
PG  - 15-7
AB  - BACKGROUND AND OBJECTIVE: Diabetes in Pregnancy Study Group India (DIPSI) 
      recommends 2-h Plasma glucose (PG) > or = 140 mg/dL with 75g oral glucose load to 
      diagnose GDM, akin to WHO criteria. Recently, International Association of 
      Diabetes in Pregnancy Study Group (IADPSG) recommends any one value of Fasting 
      plasma glucose (FPG) > or = 92 mg/ dL, 1-h PG > or = 180 mg/dL or 2-h PG > or = 
      153 mg/dL to diagnose GDM. The objective of this study was to find out whether 
      DIPSI guidelines could still be continued to diagnose GDM in our country, as this 
      requires one blood test compared to three tests of IADPSG, which is expensive. 
      METHOD: Consecutive pregnant women (N = 1463) underwent 75g oral glucose 
      tolerance test (OGTT). The proportion of GDM was computed based on IADPSG and 
      DIPSI criteria and the discordant pair of diagnosing GDM was examined by McNemar 
      test. Analysis was two tailed and P-value <0.05 was considered for statistical 
      significance. RESULT: The prevalence of GDM was 14.6% (N = 214) by IADPSG 
      criteria and 13.4% (n = 196) by DIPSI criteria. The discordant pair between the 
      two criteria examined by McNemar's test indicated that there was no statistical 
      significance (P = 0.21) and thereby implying a close agreement between these two 
      procedures. CONCLUSION: DIPSI procedure is cost-effective, without compromising 
      the clinical equipoise and can be continued to diagnose GDM in our country, as 
      well as other less resource countries.
FAU - Seshiah, V
AU  - Seshiah V
AD  - Dr. V. Seshiah Diabetes Research Institute, Chennai.
FAU - Balaji, V
AU  - Balaji V
FAU - Shah, Siddharth N
AU  - Shah SN
FAU - Joshi, Shashank
AU  - Joshi S
FAU - Das, A K
AU  - Das AK
FAU - Sahay, B K
AU  - Sahay BK
FAU - Banerjee, Samar
AU  - Banerjee S
FAU - Zargar, A H
AU  - Zargar AH
FAU - Balaji, Madhuri
AU  - Balaji M
LA  - eng
PT  - Journal Article
PL  - India
TA  - J Assoc Physicians India
JT  - The Journal of the Association of Physicians of India
JID - 7505585
RN  - 0 (Blood Glucose)
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Blood Glucose/*analysis
MH  - Body Mass Index
MH  - Diabetes, Gestational/*blood/*diagnosis/epidemiology
MH  - Fasting/*blood
MH  - Female
MH  - Glucose Tolerance Test/*methods/standards
MH  - Humans
MH  - India/epidemiology
MH  - *Practice Guidelines as Topic
MH  - Pregnancy
MH  - Pregnancy Complications/*diagnosis/epidemiology
MH  - Prevalence
MH  - Prospective Studies
MH  - Risk Factors
MH  - Surveys and Questionnaires
MH  - Young Adult
EDAT- 2013/02/15 06:00
MHDA- 2013/03/21 06:00
CRDT- 2013/02/15 06:00
PHST- 2013/02/15 06:00 [entrez]
PHST- 2013/02/15 06:00 [pubmed]
PHST- 2013/03/21 06:00 [medline]
PST - ppublish
SO  - J Assoc Physicians India. 2012 Aug;60:15-7.