PMID- 38249691
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240123
IS  - 0970-0218 (Print)
IS  - 1998-3581 (Electronic)
IS  - 0970-0218 (Linking)
VI  - 48
IP  - 6
DP  - 2023 Nov-Dec
TI  - Review of the Screening Guidelines for Gestational Diabetes Mellitus: How to 
      Choose Wisely.
PG  - 828-834
LID - 10.4103/ijcm.ijcm_298_23 [doi]
AB  - Currently, there is no international unanimity regarding the timings, the optimal 
      cut-off points, and standardized methods of screening or diagnosis of gestational 
      diabetes mellitus (GDM). The screening guidelines and recommendations for GDM 
      evolved over time; concise information has been presented here in the review. We 
      searched electronic databases for various guidelines for screening of GDM in 
      PubMed, Medical Literature Analysis and Retrieval System Online (MEDLINE), 
      Embase, Cochrane, Google Scholar, Scopus, Guidelines International Network (GIN 
      library), National Guidelines Clearinghouse (NGC); Web sites of relevant 
      organizations; and trial registries. The mesh headings derived after reviewing 
      the articles and were used to further search the articles are: ("Screening 
      Guidelines GDM" or "Screening Criteria for GDM") and ("Glucose Intolerance in 
      Pregnancy" or "Gestational Diabetes Mellitus"). The articles published from 1960 
      till December 2022 were included. Key outcomes included the prevalence of GDM is 
      14.6% according to the International Association of Diabetes and Pregnancy Study 
      Groups (IADPSG) criteria and 13.4% according to Diabetes in Pregnancy Study Group 
      India (DIPSI) criteria, making the DIPSI criterion a cost-effective method for 
      low-resource settings. The IADPSG) criterion diagnoses and treats GDM earlier, 
      thus reducing the complications associated with GDM in the mother and newborn. 
      The IADPSG criteria at a cut-off of >/=140 mg/dL have a sensitivity of 81% and 
      specificity of 93%, whereas the World Health Organization (2013) criteria at the 
      same cut-off has a lower sensitivity of 59% and specificity of 81%. The risk 
      factors of having GDM are family history, history during past pregnancy, medical 
      history, multiple current pregnancies, and raised hemoglobin A1c. The screening 
      guidelines have been developed by different organizations and institutions over 
      the years. The guidelines with the threshold values for screening and their 
      standardization for detecting GDM in Indian mothers are yet to be established.
CI  - Copyright: (c) 2023 Indian Journal of Community Medicine.
FAU - Bakshi, Ravleen Kaur
AU  - Bakshi RK
AD  - Scientist C, Div. RCN, ICMR-HQ, New Delhi, India.
FAU - Kumar, Akshay
AU  - Kumar A
AD  - Dr. BR Ambedkar Institute of Medical Sciences, Mohali, Punjab, India.
FAU - Gupta, Vandana
AU  - Gupta V
AD  - Research Officer, AIIMS, New Delhi, India.
FAU - Radhika, A G
AU  - Radhika AG
AD  - Senior Consultant, UCMS & GTB Hospital, Delhi, India.
FAU - Misra, Puneet
AU  - Misra P
AD  - Professor, Centre for Community Medicine, AIIMS, New Delhi, India.
FAU - Bhardwaj, Pankaj
AU  - Bhardwaj P
AD  - Department of Community Medicine and Family Medicine, AIIMS, Jodhpur, Rajasthan, 
      India.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20231201
PL  - India
TA  - Indian J Community Med
JT  - Indian journal of community medicine : official publication of Indian Association 
      of Preventive & Social Medicine
JID - 9315574
PMC - PMC10795887
OTO - NOTNLM
OT  - Gestational diabetes mellitus (GDM)
OT  - review
OT  - screening guidelines
COIS- There are no conflicts of interest.
EDAT- 2024/01/22 06:41
MHDA- 2024/01/22 06:42
PMCR- 2023/11/01
CRDT- 2024/01/22 05:02
PHST- 2023/05/08 00:00 [received]
PHST- 2023/09/26 00:00 [accepted]
PHST- 2024/01/22 06:42 [medline]
PHST- 2024/01/22 06:41 [pubmed]
PHST- 2024/01/22 05:02 [entrez]
PHST- 2023/11/01 00:00 [pmc-release]
AID - IJCM-48-828 [pii]
AID - 10.4103/ijcm.ijcm_298_23 [doi]
PST - ppublish
SO  - Indian J Community Med. 2023 Nov-Dec;48(6):828-834. doi: 
      10.4103/ijcm.ijcm_298_23. Epub 2023 Dec 1.