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Title: Guideline for screening and diagnosing gestational diabetes mellitus
Authors: Cuschieri, Sarah
Craus, Johann
Savona-Ventura, Charles
Keywords: Diabetes Mellitus, Type 2 -- Diagnosis
Diabetes -- Malta
Diabetes Mellitus -- Malta
Issue Date: 2015
Publisher: Malta Medical Journal
Citation: Malta Medical Journal. 2015, Vol.27(2), p. 43-46
Abstract: Gestational diabetes mellitus (GDM) is on the rise, especially with the increase in obesity in childbearing women as well as the rising prevalence of diabetes mellitus type 2. The Maltese gestational women are of no exception especially with an established link to intra-uterine nutritional environment adverse effects as well as to genetic factors. There is no set international screening strategy for GDM and so diagnosis differs between countries. The most common diagnostic test for GDM is by performing a 75g oral glucose tolerance test (oGTT). Most countries and organizations including the World Health Organization have adopted the International Association of Diabetes and Pregnancy Study Groups (IADPSG) criteria for diagnosing GDM. Performing a 75g OGTT on all women at risk of GDM is expensive as well as unpleasant for the women. A combination of risk criteria including pre-pregnancy body mass index with random plasma glucose and/or fasting plasma glucose based on Maltese and Mediterranean population studies have shown to be a useful screening tool. This tool would help identify women likely to have an abnormal or normal oGTT without the need to perform an oGTT. A screening GDM protocol is essential to pick up and manage at an early stage those that are at risk to develop GDM without the need to have an oGTT performed in every pregnant woman. This would result in better perinatal and maternal outcomes.
Appears in Collections:MMJ, Volume 27, Issue 2
MMJ, Volume 27, Issue 2
Scholarly Works - FacM&SAna
Scholarly Works - FacM&SOG

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