PMID- 29408685
OWN - NLM
STAT- MEDLINE
DCOM- 20190116
LR  - 20190116
IS  - 1872-8227 (Electronic)
IS  - 0168-8227 (Linking)
VI  - 145
DP  - 2018 Nov
TI  - Perspectives on diagnostic strategies for hyperglycemia in pregnancy - Dealing 
      with the barriers and challenges in South Asia.
PG  - 88-92
LID - S0168-8227(17)32015-6 [pii]
LID - 10.1016/j.diabres.2018.01.025 [doi]
AB  - Estimates indicate that south Asia accounts for over two fifths of the global 
      burden of hyperglycemia in pregnancy (HIP) and the ongoing nutritional and 
      epidemiological transition may make the situation worse. Given their higher risk, 
      all women of south Asian decent require to be tested for HIP. With approximately 
      37 million births annually in the region requires that 37 million women be tested 
      annually; thereby placing a huge burden on the fragile inadequately resourced 
      health systems in the region with poor awareness and lack of trained manpower. 
      Recommendation for testing must therefore be pragmatic, feasible, convenient and 
      cost effective. Diabetes in pregnancy study group India (DIPSI) has proposed a 
      simple testing protocol that is endorsed by the Indian National Guideline on GDM, 
      and by the FIGO guideline on HIP for use in South Asia. This testing protocol has 
      received widespread support in the region. Despite the many challenges it is 
      encouraging to note that in the four large countries in the region - Bangladesh, 
      India, Pakistan and Sri Lanka which account for over 80% of the estimated burden 
      of HIP in south Asia, large scale credible programs have been initiated to 
      address the identified barriers.
CI  - Copyright (c) 2018 Elsevier B.V. All rights reserved.
FAU - Kapur, Anil
AU  - Kapur A
AD  - World Diabetes Foundation, Gentofte, Denmark. Electronic address: 
      dr.anilkapur@gmail.com.
FAU - Divakar, Hema
AU  - Divakar H
AD  - Divakar's Specialty Hospital, Bangalore, India. Electronic address: 
      drhemadivakar@gmail.com.
FAU - Seshiah, Veeraswamy
AU  - Seshiah V
AD  - Diabetes Care and Research Institute, Chennai, India. Electronic address: 
      vseshiah@gmail.com.
LA  - eng
PT  - Journal Article
DEP - 20180202
PL  - Ireland
TA  - Diabetes Res Clin Pract
JT  - Diabetes research and clinical practice
JID - 8508335
SB  - IM
MH  - Asia/epidemiology
MH  - Female
MH  - Humans
MH  - Hyperglycemia/*diagnosis/*epidemiology
MH  - Incidence
MH  - Practice Guidelines as Topic/*standards
MH  - Pregnancy
OTO - NOTNLM
OT  - Barriers and challenges
OT  - Diagnostic strategies
OT  - Hyperglycaemia in pregnancy
OT  - South Asia
EDAT- 2018/02/07 06:00
MHDA- 2019/01/17 06:00
CRDT- 2018/02/07 06:00
PHST- 2017/12/20 00:00 [received]
PHST- 2018/01/24 00:00 [accepted]
PHST- 2018/02/07 06:00 [pubmed]
PHST- 2019/01/17 06:00 [medline]
PHST- 2018/02/07 06:00 [entrez]
AID - S0168-8227(17)32015-6 [pii]
AID - 10.1016/j.diabres.2018.01.025 [doi]
PST - ppublish
SO  - Diabetes Res Clin Pract. 2018 Nov;145:88-92. doi: 10.1016/j.diabres.2018.01.025. 
      Epub 2018 Feb 2.