GESTATIONAL DIABETES MELLITUS SCREENING AND DIAGNOSIS WITH IADPSG CRITERIA AT A TERTIARY CARE CENTER

Dr. K Vandana; Dr. Dasharatha Murmu; Dr. K.Sai Bhargavi

Volume : VIII, Issue : VI, June - 2018

GESTATIONAL DIABETES MELLITUS SCREENING AND DIAGNOSIS WITH IADPSG CRITERIA AT A TERTIARY CARE CENTER

Dr. K Vandana, Dr. Dasharatha Murmu, Dr. K. Sai Bhargavi

Abstract :

Background: Gestational diabetes mellitus is one of the commonest medical disorders complicating pregnancy. Its early recognition and timely intervention with diet and insulin can minimize maternal and fetal complications. As India belongs to high risk ethnic group for GDM, there is a need for universal screening for GDM.

Objective: To study the prevalence of GDM and its maternal and fetal outcome in pregnant women at a tertiary care hospital with one step 75gm OGTT (IADPSG criteria) and to establish the need for universal screening for GDM.

Methods: This study was conducted at Department of Obstetrics and Gynecology, Alluri Sitarama Raju Academy of Medical Sciences, Eluru, Andhra Pradesh. A total of 200 pregnant women attending the OPD and admitted as inpatients were selected according to inclusion and exclusion criteria. Oral Glucose Tolerance Test was peformed according to IADPSG criteria.

Results: The prevalence of GDM in our study population is 12.5% with mean age of GDM women was 28.36 ± 3.9 years. Among GDM screened and diagnosed women, 24% of cases would have been missed if selective screening was implemented.

Conclusion: Universal screening is important for early identification of GDM cases. With IADPSG criteria, the results are more accurate with less maternal and fetal complications.