Gestational diabetes: New criteria may triple the prevalence but effect on outcomes is unclear

BMJ (Online)

Volumn 348, Issue , 2014, Pages

  Cundy Prof , Tim ^a   Ackermann, Evan ^b,c   Ryan, Edmond A ^c  

^a UNIVERSITY OF AUCKLAND   (New Zealand)

^b Condamine Medical Centre ^*  (Australia)

^c UNIVERSITY OF ALBERTA   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

GLUCOSE; INSULIN; ORAL ANTIDIABETIC AGENT;

ARTICLE; BLOOD GLUCOSE MONITORING; CLINICAL EFFECTIVENESS; DIET RESTRICTION; DISEASE ASSOCIATION; DRUG EFFICACY; GLYCEMIC CONTROL; HUMAN; INCIDENCE; MATERNAL OBESITY; OBSERVATIONAL STUDY; ORAL GLUCOSE TOLERANCE TEST; OUTCOME ASSESSMENT; PATIENT ASSESSMENT; PREGNANCY DIABETES MELLITUS; PREVALENCE; PRIORITY JOURNAL; RISK ASSESSMENT; RISK BENEFIT ANALYSIS; RISK FACTOR; SCREENING TEST;

BLOOD GLUCOSE; DIABETES, GESTATIONAL; FEMALE; GLUCOSE TOLERANCE TEST; HUMANS; HYPERGLYCEMIA; PRACTICE GUIDELINES AS TOPIC; PREGNANCY; PREGNANCY OUTCOME; PREVALENCE; RISK FACTORS; TREATMENT OUTCOME;

EID: 84896968866     PISSN: None     EISSN: 17561833     Source Type: Journal    
DOI: 10.1136/bmj.g1567     Document Type: Article

References (29)

1. Metzger BE, Gabbe SG, Persson B, Buchanan TA, Catalano PA, Damm P, et al. International association of diabetes and pregnancy study groups recommendations on the diagnosis and classification of hyperglycemia in pregnancy. Diabetes Care 2010;33:676-82.
2. Carrington ER, Shuman CR, Reardon HS. Evaluation of the prediabetic state during pregnancy. Obstet Gynecol 1957;9:664-9.
3. National Diabetes Data Group. Classification and diagnosis of diabetes mellitus and other categories of glucose intolerance. Diabetes 1979;28:1039-57.
4. Freinkel N, Josimovich J. Summary and recommendations. Diabetes Care 1980;3:499-501.
5. Cutchie WA, Cheung NW, Simmons D. Comparison of international and New Zealand guidelines for the care of pregnant women with diabetes. Diabet Med 2006;23:460-8.
6. Buckley BS, Harreiter J, Damm P, Corcoy R, Chico A, Simmons D, et al. Gestational diabetes mellitus in Europe: prevalence, current screening practice and barriers to screening. A review. Diabet Med 2012;29:844-54.
7. Farrell T, Neale L, Cundy T. Congenital anomalies in the offspring of women with type 1, type 2 and gestational diabetes. Diabetic Med 2002;19:322-6. (Pubitemid 34592159)
8. Griffin ME, Coffey M, Johnson H, Scanlon P, Foley M, Stronge J, et al. Universal vs. risk factor-based screening for gestational diabetes mellitus: detection rates, gestation at diagnosis and outcome. Diabetic Med 2000;17:26-32. (Pubitemid 30094177)
9. Thompson DM, Dansereau I, Creed M, Ridell L. Tight glucose control results in normal perinatal outcome in 150 patients with gestational diabetes. Obstet Gynecol 1994;83:362.
10. Metzger BE, Lowe LP, Dyer AR, Trimble ER, Chaovarindr U, Coustan DR, et al. Hyperglycemia and adverse pregnancy outcomes. N Engl J Med 2008;358:1991-2002. (Pubitemid 351656454)
11. WHO Study Group. Diagnostic criteria and classification of hyperglycaemia first detected in pregnancy. 2013. http://apps.who.int/iris/bitstream/10665/ 85975/1/WHO-NMH-MND-13.2-eng.pdf.
12. Grimes DA, Schulz KF. False alarms and pseudo-epidemics: the limitations of observational epidemiology. Obstet Gynecol 2012;120:920-7.
13. Crowther CA, Hiller JE, Moss JR, McPhee AJ, Jeffries WS, Robinson JS. Effect of treatment of gestational diabetes mellitus on pregnancy outcomes. N Engl J Med 2005;352:2477-86. (Pubitemid 41007863)
14. Landon MB, Spong CY, Thom E, Carpenter MW, Ramin SM, Casey B, et al. A multicenter, randomized trial of treatment for mild gestational diabetes. N Engl J Med 2009;361:1339-48.
15. Horvath K, Koch K, Jeitler K, Matyas E, Bender R, Bastian H, et al. Effects of treatment in women with gestational diabetes mellitus: systematic review and meta-analysis. BMJ 2010;340:c1395.
16. Falavigna M, Schmidt MI, Trujillo J, Alves LF, Wendland ER, Torloni MR, et al. Effectiveness of gestational diabetes treatment: a systematic review with quality of evidence assessment. Diabetes Res Clin Pract 2012;98:396-405.
17. Neiger R, Coustan DR. The role of repeat glucose tolerance tests in the diagnosis of gestational diabetes. Am J Obstet Gynecol 1991;165:787-90.
18. Balion CM, Raina PS, Gerstein HC, Santaguida PL, Morrison KM, Booker L, et al. Reproducibility of impaired glucose tolerance (IGT) and impaired fasting glucose (IFG) classification: a systematic review. Clin Chem Lab Med 2007;45:1180-5. (Pubitemid 47396262)
19. Ricart W, Lopez J, Mozas J, Pericot A, Sancho MA, Gonzalez N, et al. Body mass index has a greater impact on pregnancy outcomes than gestational hyperglycaemia. Diabetologia 2005;48:1736-42. (Pubitemid 41317826)
20. Black MH, Sacks DA, Xiang AH, Lawrence JM. The relative contribution of pre-pregnancy overweight and obesity, gestational weight gain, and IADPSG-defined gestational diabetes mellitus to fetal overgrowth. Diabetes Care 2013;36:56-62.
21. Ludwig DS, Currie J. The association between pregnancy weight gain and birthweight: a within-family comparison. Lancet 2010;376:984-90.
22. Pirkola J, Pouta A, Bloigu A, Miettola S, Hartikainen AL, Jarvelin MR, et al. Prepregnancy overweight and gestational diabetes as determinants of subsequent diabetes and hypertension after 20-year follow-up. J Clin Endocrinol Metab 2010;95:772-8.
23. Ryan EA. Diagnosing gestational diabetes. Diabetologia 2011;54:480-6.
24. Werner EF, Pettker CM, Zuckerwise L, Reel M, Funai EF, Henderson J, et al. Screening for gestational diabetes mellitus: are the criteria proposed by the international association of the Diabetes and Pregnancy Study Groups cost-effective? Diabetes Care 2012;35:529-35.
25. Mission JF, Ohno MS, Cheng YW, Caughey AB. Gestational diabetes screening with the new IADPSG guidelines: a cost-effectiveness analysis. Am J Obstet Gynecol 2012;207:326-9.
26. Naylor CD, Sermer M, Chen E, Sykora K. Cesarean delivery in relation to birth weight and gestational glucose tolerance: pathophysiology or practice style? JAMA 1996;275:1165-170. (Pubitemid 26113931)
27. VanDorsten JP, Dodson WC, Espeland MA, Grobman WA, Guise JM, Mercer BM, et al. NIH consensus development conference: diagnosing gestational diabetes mellitus. NIH Consens State Sci Statements 2013;29:1-31.
28. Quinlivan JA, Lam LT, Fisher J. A randomised trial of a four-step multidisciplinary approach to the antenatal care of obese pregnant women. Aust N Z J Obstet Gynaecol 2011;51:141-6.
29. Thompson D, Berger H, Feig D, Gagnon R, Kader T, Keely E, et al. Clinical practice guidelines for the prevention and management of diabetes in Canada: diabetes and pregnancy. Can J Diabete 2013;37(suppl 1):S168-83.