Gestational diabetes mellitus: Confusion among medical doctors caused by multiple international criteria

Agarwal, Mukesh; Shah, Syed M.; Kaabi, Juma Al; Saquib, Shabnam; Othman, Yusra

doi:10.1111/jog.12661

Cited by 19 publications

(17 citation statements)

References 23 publications

(22 reference statements)

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“…We noted clinical inconsistency in GDM diagnostic criteria used in the prevalence studies we reviewed (Table 4). This corresponds to the common use of existing nonuniform GDM diagnostic criteria in different countries (12,134). Given the importance of the prevalence of GDM in meaningful intervention development, its estimation can be affected by the inclusion of studies that use different GDM diagnosing criteria (137,138).…”

Section: Quality Assessment Of the Gdm Research Reportsmentioning

confidence: 99%

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Prevalence of Gestational Diabetes Mellitus in the Middle East and North Africa, 2000–2019: A Systematic Review, Meta-Analysis, and Meta-Regression

et al. 2021

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Women in the Middle East and North Africa (MENA) region are burdened with several risk factors related to gestational diabetes mellitus (GDM) including overweight and high parity. We systematically reviewed the literature and quantified the weighted prevalence of GDM in MENA at the regional, subregional, and national levels. Studies published from 2000 to 2019 reporting the prevalence of GDM in the MENA region were retrieved and were assessed for their eligibility. Overall and subgroup pooled prevalence of GDM was quantified by random-effects meta-analysis. Sources of heterogeneity were investigated by meta-regression. The risk of bias (RoB) was assessed by the National Heart, Lung, and Blood Institute’s tool. One hundred and two research articles with 279,202 tested pregnant women for GDM from 16 MENA countries were included. Most of the research reports sourced from Iran (36.3%) and Saudi Arabia (21.6%), with an overall low RoB. In the 16 countries, the pooled prevalence of GDM was 13.0% (95% confidence interval [CI], 11.5–14.6%, I2, 99.3%). Nationally, GDM was highest in Qatar (20.7%, 95% CI, 15.2–26.7% I2, 99.0%), whereas subregionally, GDM was highest in Gulf Cooperation Council (GCC) countries (14.7%, 95% CI, 13.0–16.5%, I2, 99.0%). The prevalence of GDM was high in pregnant women aged ≥30 years (21.9%, 95% CI, 18.5–25.5%, I2, 97.1%), in their third trimester (20.0%, 95% CI, 13.1–27.9%, I2, 98.8%), and who were obese (17.2%, 95% CI, 12.8–22.0%, I2, 93.8%). The prevalence of GDM was 10.6% (95% CI, 8.1–13.4%, I2, 98.9%) in studies conducted before 2009, whereas it was 14.0% (95% CI, 12.1–16.0%, I2, 99.3%) in studies conducted in or after 2010. Pregnant women in the MENA region are burdened with a substantial prevalence of GDM, particularly in GCC and North African countries. Findings have implications for maternal health in the MENA region and call for advocacy to unify GDM diagnostic criteria.Systematic Review RegistrationPROSPERO CRD42018100629

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Section: Quality Assessment Of the Gdm Research Reportsmentioning

confidence: 99%

“…For the entire Eastern Mediterranean region, the existing prevalence estimate of GDM is 14.5%, although this includes only cases diagnosed according to the World Health Organization (WHO) 1999 criteria (4). One previous survey showed that physicians and hospitals in this region use different criteria to diagnose GDM (12).…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Gestational Diabetes Mellitus in the Middle East and North Africa, 2000–2019: A Systematic Review, Meta-Analysis, and Meta-Regression

et al. 2021

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“…The incidence of GDM has increased with the increasing rates of obesity and diabetes seen worldwide [ 5 , 6 ], and new diagnostic criteria will result in GDM being diagnosed in approximately 18% of all pregnancies [ 7 ]. The diagnosis of GDM, however, is hampered by different criteria used internationally and across different institutions within the same country [ 8 – 10 ]. Furthermore, as pregnancy outcomes are worse for women with overt DM than for those with GDM, the World Health Organization (WHO) divides hyperglycemia in pregnancy as DM either preceding or first discovered during pregnancy, and GDM, i.e., hyperglycemia during pregnancy which resolves after pregnancy [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

The diagnostic value of glycated albumin in gestational diabetes mellitus

Zhu¹,

Chen²,

Li³

et al. 2017

J Endocrinol Invest

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PurposeOur objective was to compare the diagnostic performance of glycated hemoglobin (HbA1c), GA, and fasting plasma glucose (FPG) for the diagnosis of GDM.MethodsWomen at their late second or early third trimesters seen from October 2011 to April 2012 were studied. GDM was diagnosed based on oral glucose tolerance test results, and GA and HbA1c were measured at the same time. Patients were divided into two groups (with and without GDM), and areas under the receiver-operating characteristic curves (AUCs) were calculated to determine the diagnostic value of FPG, GA, and HbA1c.ResultsA total of 698 women were included, of which 232 (33.2%) had GDM. Overall, FPG had the highest AUC for the detection of GDM, and was significantly higher than that of GA (0.692 vs. 0.568, p < 0.001) and HbA1c (0.692 vs. 0.619, p = 0.014). The AUC of FPG was significantly greater than that of GA and HbA1c. At 24–28 weeks’ gestation, the AUCs of FPG were significantly greater than those of GA and HbA1c.ConclusionsThese results do not support the use of GA as a screening tool for GDM.Electronic supplementary materialThe online version of this article (doi:10.1007/s40618-016-0605-7) contains supplementary material, which is available to authorized users.

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“…In addition, for pregnant women, gestational diabetes is the primary cause of ketoacidosis. So, if a puerpera suffers from gestational diabetes, with or without symptoms of diabetes mellitus, blood sugar must be effectively controlled, so that the safety of mother and child is fully guaranteed (Agarwal et al, 2015;Lai et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Effect of dietary approaches to stop hypertension diet plan on pregnancy outcome patients with gestational diabetes mellitus

Yao

Liu

Zhu

et al. 2015

Bangladesh J Pharmacol

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The purpose of this study is to test the effects of Dietary Approaches to Stop Hypertension (DASH) diet plan on pregnancy outcomes patients with gestational diabetes mellitus. This randomized controlled clinical trial was performed among 33 women diagnosed with gestational diabetes. These patients were randomly distributed to the control group (n = 16) or DASH diet group (n = 17) for 4 weeks. Whereas 47.1% of women in the DASH diet needed to have a cesarean section, this percentage of mean gestational age in control diet was 81.3% (p<0.01). Approximately 23.5% of women in the DASH diet and 75% of women in control diet needed to commence insulin therapy after intervention (p<0.01). In conclusion, the effect of DASH diet improved pregnancy outcomes patients with gestational diabetes. Article Info

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Gestational diabetes mellitus: Confusion among medical doctors caused by multiple international criteria

Abstract: Although this study is parochial, its implications are global; that is, further education of caregivers would make the discordant approach to GDM (within and between hospitals) more harmonious and improve the obstetric care of pregnant women.

Cited by 19 publications

References 23 publications

Prevalence of Gestational Diabetes Mellitus in the Middle East and North Africa, 2000–2019: A Systematic Review, Meta-Analysis, and Meta-Regression

Prevalence of Gestational Diabetes Mellitus in the Middle East and North Africa, 2000–2019: A Systematic Review, Meta-Analysis, and Meta-Regression

The diagnostic value of glycated albumin in gestational diabetes mellitus

Effect of dietary approaches to stop hypertension diet plan on pregnancy outcome patients with gestational diabetes mellitus

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