PMID- 37292078
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20231031
IS  - 2230-8210 (Print)
IS  - 2230-9500 (Electronic)
IS  - 2230-9500 (Linking)
VI  - 27
IP  - 2
DP  - 2023 Mar-Apr
TI  - Prevalence of Hyperglycemia in Pregnancy and Related Screening Practices in Rural 
      Dehradun: The First Population-Based Study from Uttarakhand (PGDRD-1).
PG  - 145-153
LID - 10.4103/ijem.ijem_459_22 [doi]
AB  - AIMS: Phase I of the Prevalence of Gestational Diabetes Mellitus in Rural 
      Dehradun (PGDRD) project estimates hyperglycemia in pregnancy (HIP) prevalence 
      and identifies gaps in the utilization of community-related services in rural 
      areas of the Dehradun district (western Uttarakhand); a state where notably no 
      prior population-based study has ever been conducted despite being an Empowered 
      Action Group state for more than two decades. METHODS: Using a multistage random 
      sampling technique, 1,223 pregnant women locally registered in the rural field 
      practice area of a block were identified. Those requiring HIP screening were 
      subjected to a 2-h 75 g oral glucose tolerance test during the house visit 
      irrespective of their period-of-gestation and last meal timings, diagnosed using 
      the Diabetes in Pregnancy Study Group India (DIPSI) criterion (when indicated). 
      Data were collected by personal interviews using a pretested data collection 
      tool. Statistical Package for Social Sciences version 20.0 was used for analysis. 
      RESULTS: The overall HIP prevalence recorded was 9.7% (95% CI: 8.1-11.5%); the 
      majority (95.8%) were GDM followed by overt DIP (4.2%). Less than 1% of the 
      subjects (0.7%) self-reported pre-GDM. Despite this burden, more than 
      three-fourths were never screened for HIP in their pregnancy. Of those tested, 
      the majority availed secondary healthcare facilities. Few even had to bear 
      expenses in private with a very handful being tested free-of-cost by ANM in the 
      community; findings that altogether sharply contrast to those recommended by 
      national protocols. CONCLUSION: Despite the high HIP burden, beneficiaries are 
      unable to utilize community-related universal screening protocols as desired.
CI  - Copyright: (c) 2023 Indian Journal of Endocrinology and Metabolism.
FAU - Mishra, Surabhi
AU  - Mishra S
AD  - Department of Community Medicine, Himalayan Institute of Medical Sciences (HIMS), 
      Swami Rama Himalayan University (SRHU), Swami Ram Nagar, Jolly Grant, Dehradun, 
      Uttarakhand, India.
FAU - Semwal, Jayanti
AU  - Semwal J
AD  - Department of Community Medicine, Himalayan Institute of Medical Sciences (HIMS), 
      Swami Rama Himalayan University (SRHU), Swami Ram Nagar, Jolly Grant, Dehradun, 
      Uttarakhand, India.
FAU - Srivastava, Abhay
AU  - Srivastava A
AD  - Department of Community Medicine, Himalayan Institute of Medical Sciences (HIMS), 
      Swami Rama Himalayan University (SRHU), Swami Ram Nagar, Jolly Grant, Dehradun, 
      Uttarakhand, India.
FAU - Kumar Mishra, Surendra
AU  - Kumar Mishra S
AD  - Department of Water Resources Development and Management, Indian Institute of 
      Technology Roorkee, Roorkee, Uttarakhand, India.
LA  - eng
PT  - Journal Article
DEP - 20230414
PL  - India
TA  - Indian J Endocrinol Metab
JT  - Indian journal of endocrinology and metabolism
JID - 101555690
PMC - PMC10245310
OTO - NOTNLM
OT  - DIPSI
OT  - Diabetes in pregnancy
OT  - gestational diabetes mellitus
OT  - oral glucose tolerance test
OT  - pre-GDM
COIS- There are no conflicts of interest.
EDAT- 2023/06/09 06:42
MHDA- 2023/06/09 06:43
PMCR- 2023/03/01
CRDT- 2023/06/09 04:15
PHST- 2022/12/21 00:00 [received]
PHST- 2023/03/05 00:00 [revised]
PHST- 2023/03/09 00:00 [accepted]
PHST- 2023/06/09 06:43 [medline]
PHST- 2023/06/09 06:42 [pubmed]
PHST- 2023/06/09 04:15 [entrez]
PHST- 2023/03/01 00:00 [pmc-release]
AID - IJEM-27-145 [pii]
AID - 10.4103/ijem.ijem_459_22 [doi]
PST - ppublish
SO  - Indian J Endocrinol Metab. 2023 Mar-Apr;27(2):145-153. doi: 
      10.4103/ijem.ijem_459_22. Epub 2023 Apr 14.