Prevalence of gestational diabetes mellitus evaluated by universal screening with a 75‐g, 2‐hour oral glucose tolerance test and IADPSG criteria

Abstract

Objective To determine the prevalence of gestational diabetes mellitus (GDM) and its association with maternal age among Turkish women diagnosed by International Association of Diabetes and Pregnancy Study Group (IADPSG) criteria. Methods A cross‐sectional study was conducted in 2013–2015 among non‐diabetic pregnant women aged 18–49 years who were universally screened for GDM by IADPSG criteria. The percentage of women meeting each diagnostic threshold and the prevalence of GDM by age group were calculated. Linear trends were evaluated by logistic regression. Results Among 1434 women screened, 159 (11.1%, 95% confidence interval 9.5%–12.7%) were diagnosed with GDM; eleven of these women had been diagnosed according to a fasting glucose level in the first trimester. The prevalence of GDM was 6.6% (10/151), 7.3% (37/507), 8.8% (42/479), 16.7% (45/270), and 35.2% (25/71) among women aged younger than 25, 25–29, 30–34, 35–39, and 40 years or older, respectively. GDM prevalence increased with age (P<0.001). The numbers of women diagnosed with GDM in the second trimester who exceeded one, two, and three thresholds of the 2‐hour oral glucose tolerance test were 66 (44.6%), 52 (35.1%), and 30 (20.3%), respectively. Conclusion Prevalence of GDM was correlated with maternal age. Most women diagnosed in the second trimester exceeded the threshold at only one of the three timepoints.

Comparing the risk of adverse pregnancy outcomes of Chinese patients with polycystic ovary syndrome with and without antiandrogenic pretreatment

“…According to studies performed in Turkey (25) and South Africa (26), the prevalence rate of GDM in population-based studies ranges from 11.1% to 25.8%, respectively, which is similar to the prevalence of GDM in our Chinese study for healthy women using the same diagnostic criteria. According to the National Collaborating Centre for Women's and Children's Health in the United Kingdom, the recurrence rates for gestational diabetes can reach about 85% after pregnancy (27).…”

Serum Adropin and Adipose Fatty-Acid Binding Protein at 6th Week of Pregnancy Are Significant Predictors for Development of Insulin Resistance at the 24th Week.

“…Diagnosis of GDM relied on the results of OGTT that was interpreted according to the recommendations of the International association of diabetes and pregnancy study groups (20) ; similarly multiple studies used this diagnostic policy for GDM (27,28,29) . The reported figure for frequency of GDM goes in hand with Ma et al (30) , Karcaaltincaba et al (31) and Arbib et al (32) who reported frequencies of 12.2%, 11.1% and 9.9%, respectively for GDM. Moreover, Huhn et al (33) and Brown & Wyckoff (34) documented that the introduction of the IADPSG criteria resulted in an absolute increase of GDM prevalence of 8.5% (33) and a 1.03-3.78-fold rise versus baseline criteria (34) .…”

Evaluation of the prevalence of gestational diabetes mellitus in Kayseri city hospital: A cross-sectional study

“…The American College of Obstetricians and Gynecologists (ACOG) and the National Institutes of Health (NIH) suggest a two-step approach, while The American Diabetes Association (ADA) has stated that any one of the one-or two-step approaches may be used. In the literature, the prevalence of GDM in our country is reported as 1.2-27.9% [6][7][8][9][10][11][12][13][14][15][16][17][18][19]. In our study, GDM screening with a single step 75g OGTT revealed that the prevalence in Kayseri was 16% according to the IADPSG criteria.…”

“…Ozdemir et al [16] prospectively researched GDM prevalence and found it to as 8.4% according to single-step screening and IADPSG criteria. The prevalence of GDM among 1434 pregnant women by Karcaaltıncaba et al [18] revealed it as 11.1% according to IADPSG criteria with single-step screening. Recently, Ozgu et al [19] found that the prevalence of GDM was 21% according to IADPSG criteria with single-step screening.…”

“…In the literature, the prevalence of GDM varies between 1.2 and 27.9% in different studies conducted regionally in Turkey [7][8][9][10][11][12][13][14][15][16][17][18][19][20]. Since there has been no multicenter study in our country, there is no data on the national prevalence of GDM today.…”