Screening for gestational diabetes, Ahmedabad, India

Nayak, Himanshu; Gadhavi, Rajendra; Solanki, Bhavin; Aroor, Bhagyalaxmi; Gameti, Hemant; Shringarpure, Kalpita; Joshi, Jayun; Kazi, Zuveriya

doi:10.2471/blt.22.288045

Cited by 4 publications

(3 citation statements)

References 15 publications

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“…Currently, the traditional model is used for diagnosing GDM. Screening tests may vary slightly depending on the health care provider but generally include: initial glucose challenge test, where a blood sugar level of 190 milligrams per deciliter (mg/dL) or 10.6 millimoles per liter (mmol/L) indicates gestational diabetes [31,32]. A blood sugar level below 140 mg/dL (7.8 mmol/L) is usually considered within the standard range on a glucose challenge test, although this may vary by clinic or lab.…”

Section: Discussionmentioning

confidence: 99%

Role of Nutritional Habits during Pregnancy in the Developing of Gestational Diabetes: A Single-Center Observational Clinical Study

Trifunovic-Kubat,

Sazdanovic,

Ilic

et al. 2024

Medicina

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(1) Background and Objective: Excessive gestational weight gain is associated with serious complications such as pre-eclampsia, fetal macrosomia and a more frequent need for cesarean section. The aim of this study is to develop a simple screening model that includes maternal age, BMI and nutritive habits in the second trimester in order to predict the risk of GDM in the population of pregnant women in the territory of the Republic of Serbia. (2) Materials and Methods: This single-center, prospective and case–control study was performed in the University Clinical Center “Dr. Dragisa Misovic Dedinje”, Belgrade, Serbia and included 54 women with singleton pregnancies during the second trimester from July 2023 to November 2023. We used basic demographic and socio-epidemiological data, as well as data of the present comorbidities and previous pregnancies/births. The Serbian version of the Nutritive Status Questionnaire (NSQ) was used to estimate the nutritive habits in GDM (n = 22) and non-GDM groups (n = 32). (3) Results: We observed less frequent vegetable and fruit consumption in the GDM group in comparison with the non-GDM group; meat and chicken intake was 2–3 times per week in both groups; meat products were consumed 2–3 times per week in the GDM group and 2–3 times per month in the non-GDM group; milk products were consumed once a day in 31.8% of GDM patients and twice per day in 24.1% of non-GDM patients. Sweets (cakes, ice creams, biscuits) were consumed very often (2–3 times per week) in the GDM group (36.4%), while in the non-GDM group this habit was less frequent (26.7%). Cronbach alpha and internal consistency for this instrument were very good (Cronbach alpha = 0.87). (4) Conclusions: We have found that a non-adequate intake of fruits/vegetables, dairy and whole grain, as well as an excessive intake of sugar/artificially sweetened beverages and dairy, was associated with a higher risk of gestational diabetes mellitus (OR = 0.04; 95% CI).

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Section: Discussionmentioning

confidence: 99%

Role of Nutritional Habits during Pregnancy in the Developing of Gestational Diabetes: A Single-Center Observational Clinical Study

Trifunovic-Kubat,

Sazdanovic,

Ilic

et al. 2024

Medicina

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“…The present study findings on HIP prevalence in rural western Uttarakhand are comparable to the pooled prevalence of India [8.9% (7.1-11.1%)],[ 21 ] and those reported in rural Tamil Nadu[ 18 ] (9.9%), rural Haryana[ 15 ] (9.7%), and rural Maharashtra[ 12 ] (9.5%); lower than in rural Punjab[ 11 ] (31.9% on using WHO 2013), urban and peri-urban South Delhi[ 6 ] (19.2%), Tamil Nadu[ 10 ] (18.5% and 14.6% on IADPSG and WHO criteria, respectively), rural Assam[ 8 ] (16.7%), Uttar Pradesh[ 14 ] (14.4%), Gujarat[ 5 ] (12.7%), but higher than those reported from rural Punjab[ 11 ] (7.9% on using WHO 1999), urban Kashmir (7.8),[ 13 ] rural Jammu (6.4%),[ 19 ] Kashmir[ 20 ] (3.8%), rural Karnataka[ 9 ] (3.7%), rural Assam[ 17 ] (3.0%), tribal and rural Chhattisgarh[ 7 ] (1.9%), and rural Gujarat[ 16 ] (1.7%).…”

Section: Discussionmentioning

confidence: 99%

“…Most Indian studies reporting prevalence are sporadic in nature and hospital/research center-study based; with only a few handfuls reporting community-based true HIP burden. [ 5 - 20 ] Notably, no population-based study has ever been conducted in Uttarakhand that has reported the State’s HIP burden/prevalence. [ 21 ]…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Hyperglycemia in Pregnancy and Related Screening Practices in Rural Dehradun: The First Population-Based Study from Uttarakhand (PGDRD-1)

Mishra¹,

Semwal²,

Srivastava³

et al. 2023

Indian Journal of Endocrinology and Metabolism

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Aims: Phase I of the P revalence of G estational D iabetes Mellitus in R ural D ehradun (PGDRD) project estimates hyperglycemia in pregnancy (HIP) prevalence and identifies gaps in the utilization of community-related services in rural areas of the Dehradun district (western Uttarakhand); a state where notably no prior population-based study has ever been conducted despite being an Empowered Action Group state for more than two decades. Methods: Using a multistage random sampling technique, 1,223 pregnant women locally registered in the rural field practice area of a block were identified. Those requiring HIP screening were subjected to a 2-h 75 g oral glucose tolerance test during the house visit irrespective of their period-of-gestation and last meal timings, diagnosed using the Diabetes in Pregnancy Study Group India (DIPSI) criterion (when indicated). Data were collected by personal interviews using a pretested data collection tool. Statistical Package for Social Sciences version 20.0 was used for analysis. Results: The overall HIP prevalence recorded was 9.7% (95% CI: 8.1-11.5%); the majority (95.8%) were GDM followed by overt DIP (4.2%). Less than 1% of the subjects (0.7%) self-reported pre-GDM. Despite this burden, more than three-fourths were never screened for HIP in their pregnancy. Of those tested, the majority availed secondary healthcare facilities. Few even had to bear expenses in private with a very handful being tested free-of-cost by ANM in the community; findings that altogether sharply contrast to those recommended by national protocols. Conclusion: Despite the high HIP burden, beneficiaries are unable to utilize community-related universal screening protocols as desired.

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Diagnosis and management of gestational diabetes mellitus guidelines by DIPSI (Revised)

Seshiah¹,

Balaji²,

Chawla³

et al. 2023

Int J Diabetes Dev Ctries

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Screening for gestational diabetes, Ahmedabad, India

Cited by 4 publications

References 15 publications

Role of Nutritional Habits during Pregnancy in the Developing of Gestational Diabetes: A Single-Center Observational Clinical Study

Role of Nutritional Habits during Pregnancy in the Developing of Gestational Diabetes: A Single-Center Observational Clinical Study

Prevalence of Hyperglycemia in Pregnancy and Related Screening Practices in Rural Dehradun: The First Population-Based Study from Uttarakhand (PGDRD-1)

Diagnosis and management of gestational diabetes mellitus guidelines by DIPSI (Revised)

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