Compar a Tive Study of Efficacy of Dipsi and O’sullivan’s Method of Screening for GDM

Abstract

OBJECTIVE: 1. To compare screening and diagnosis of gestational diabetes mellitus by Diabetes In Pregnancy Study Group of India (DIPSI) recommended 75g oral glucose challenge test with O'Sullivan's 50 g oral glucose challenge test. 2. To note the prevalence of gestational diabetes in antenatal population. 3. Fetal Outcome of pregnancy with impaired and abnormal glucose tolerance. METHODS: A detailed history from antenatal patients was taken to reveal all risk factors. The procedure of the study was explained and required consent for the study was taken. Examination of the patients was done and all relevant data was obtained. Fasting blood glucose was taken of all antenatal patients at their first visit. Pregnant women at 24-28 weeks were tested with 50g oral glucose load or 75g oral glucose load, at random. Patients were give 50g glucose irrespective of the meal and 1 hour venous blood sample was collected. Patients of 75 g of oral glucose were asked to come in fasting state, 75g of glucose was given, following which 2 hour venous sample was collected. Blood glucose was tested by GOD-POD method. Diagnosis of GDM was made when the plasma glucose of >140mg/dL.