Prevalence of Gestational Diabetes Mellitus According to IADPSG and NICE Criteria EDITORIAL COMMENT

摘要

Hyperglycemia during pregnancy leads to a plethora of complications such as preeclampsia, cesarean delivery, and increased perinatal mortality as well as adverse neonatal health conditions including long-term obesity and diabetes. However, there is disagreement regarding the best approach to screening for gestational diabetes mellitus (GDM). The International Association of Diabetes and Pregnancy Study Groups (IADPSG) developed a classification for GDMdiagnosis. According to these criteria, one measurement of plasma glucose equal to or above 5.1 mmol/L when fasting, 10 mmol/L for 1-hour measurements, and 8.5 mmol/L for 2 hour measurements should be obtained for GDMto be diagnosed. According to the IADPSG criteria, overt diabetes in pregnancy is indicated with a 7 mmol/L FPG or random plasma glucose concentration of 11.1 mmol/L. Alternatively, the UK National Institute for Health and Care Excellence (NICE) proposed criteria for diagnosis of GDP with one fasting plasma glucose (FPG) measurement of at least 5.6 mmol/L or a 2-hour plasma glucose measurement of at least 7.8 mmol/L.