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Gestational Diabetes: Do All Women Need to be Tested?
Author(s) -
Moses Robert,
Griffiths Rhonda,
Davis Warren
Publication year - 1995
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.1995.tb02148.x
Subject(s) - gestational diabetes , medicine , diabetes mellitus , obstetrics , family history , pregnancy , gynecology , glucose tolerance test , gestation , endocrinology , insulin resistance , genetics , biology
Summary: The results of glucose tolerance testing in 1,185 consecutive women were examined with respect to historical risk factors for gestational diabetes mellitus (GDM). GDM was present in 79 of 1,185 (6.7%) of the women. GDM was present in 8.5% of women aged ≥ 30 years, in 12.3% of women with a preconception BMI ≥30 and in 11.6% of women with a family history of diabetes in a first degree relation. A combination of one or all of these risk factors predicted GDM in only 48 of 79 (60.8%) cases. GDM was present in 4.8% of women without risk factors. Testing for GDM on the basis of these historical risk factors alone, and using the Australasian Diabetes in Pregnancy Society (ADIPS) criteria for diagnosis, would miss more than one‐third of all cases. This study supports the ADIPS recommendation that there should be universal testing.