UNIVERSAL SCREENING OF GESTATIONAL DIABETES MELLITUS BY DIPSI METHOD AND THEIR FETOMATERNAL OUTCOME

Goyal Supriya; Vyas lila; Narayan Suchitra; Jha Nidhi

Volume : VIII, Issue : V, May - 2019

UNIVERSAL SCREENING OF GESTATIONAL DIABETES MELLITUS BY DIPSI METHOD AND THEIR FETOMATERNAL OUTCOME

Goyal Supriya, Vyas Lila, Narayan Suchitra, Jha Nidhi

Abstract :

Universal screening of Gestational Diabetes Mellitus by DIPSI method and to study their fetomaternal outcome S.M.S Medical college,jaipur,rajasthan OBJECTIVE : Early detection and timely intervention of gestational glucose intolerance (GGI) and gestational diabetes mellitus (GDM) by universal screening with Diabetes in Pregnancy Study Group India (DIPSI) Criteria and to study their fetomaternal outcome. METHOD : Randomly selected 200 antenatal women were screened universally for GDM using DIPSI criteria by measuring venous plasma glucose levels 2 hours after ingesting 75 grams of oral glucose in first trimester. Pre–gestational diabetic were excluded. Results were analysed using chi–square test. RESULTS : Using DIPSI criteria,25 cases (12.5%) of GDM and 17 cases (8.5%) of GGI were identified. Out of these 25 cases of GDM,10 cases(40%), 7 cases(28%) ,8 cases(32%) were detected in first ,second and third trimester respectively.out of 17 GGI cases,3 cases(17.64%),7 cases(41.18%),7 cases(41.18%) were detected in first,second and third trimester respectively. As present study was conducted on all antenatal patients irrespective of risk factors,it was found that 5 cases(20%) of GDM and 4 cases(23.52%) of GGI were detected without any risk factors which would have been missed if only high risk cases were screened. When al cases were followed for their fetomaternal outcome,it was found that there were 5 (20%) cases of GDM nad 2 (11.76%) of GGI devoloped gestational hypertension,2(8%) GDM cses had preeclampsia.,3(12%) acses had prematurity.18 cases(72%) of GDM and 6 cases(35.29%) of GGI underwent caesarean section,although commonest indication was fetal distress(32%) There was only one case of IUD among GDM cases and none among GGI. . 3(12%) cases of GDM had hypoglycaemia and none among GGI. Conclusion: A one step procedure with a single value is DIPSI criteria serves both as screening and diagnostic tool for diagnosing GDM in every antenatal women. This study validates credibility of DIPSI criteria.