The International Federation of Gynecology and Obstetrics (FIGO) Initiative on gestational diabetes mellitus: A pragmatic guide for diagnosis, management, and care#

Hod, Moshe; Kapur, Anil; Sacks, David A.; Hadar, Eran; Agarwal, Mukesh; Renzo, Gian Carlo Di; Cabero, L.; McIntyre, H. David; Morris, Jessica; Divakar, Hema

doi:10.1016/s0020-7292(15)30007-2

Cited by 414 publications

(475 citation statements)

References 0 publications

Supporting

Mentioning

435

Contrasting

Unclassified

Order By: Relevance

“…According to the latest International Federation of Gynecology and Obstetrics recommendations (16), screening by capillary tests is advisable at the primary level of care, particularly in settings where access to laboratories presents an obstacle. Our findings revealed that glucometers and test strips were available in the majority of primary health care settings and that most women traveled<30 min to their health center.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis a posteriori? Assessing gestational diabetes screening and management in Morocco

Utz

Assarag

Essolbi

et al. 2016

Global Health Action

View full text Add to dashboard Cite

BackgroundIn Morocco, gestational diabetes affects 1 in 10 pregnant women, but knowledge about screening and management practices outside university settings is limited.ObjectiveTo provide a comprehensive picture about the current situation of screening and management of gestational diabetes at different levels of care and to highlight existing challenges.DesignWe conducted a descriptive mixed methods study in the districts of Al Haouz and Marrakech by using both quantitative and qualitative methods, including document reviews of 369 antenatal cards and 299 hospital files, health facility inventories related to resource availability, 20 key informant interviews as well as focus group discussions with 32 pregnant women and exit interviews with 122 antenatal care (ANC) clients. Quantitative data were descriptively analyzed using STATA Version 13, whereas qualitative data were thematically analyzed using NVIVO Version 10.ResultsThe findings revealed that sensitization of women about gestational diabetes is low, and only 34.4% have ever heard about it before attending ANC. Fasting blood sugar is used for screening, and women are sent to external laboratories for testing. A fasting blood sugar of 0.92 g/l and above was documented in 12.3% of all antenatal cards examined. Women diagnosed with gestational diabetes are usually referred to a specialist despite general practitioners at health center level being responsible for the management of non-pregnant diabetic patients.ConclusionsDecentralization of screening for gestational diabetes and initial management of uncomplicated cases at the primary level of care could ease access to care and reduce the number of mothers who are diagnosed after a complication occurred.

show abstract

Section: Discussionmentioning

confidence: 99%

Diagnosis a posteriori? Assessing gestational diabetes screening and management in Morocco

Utz

Assarag

Essolbi

et al. 2016

Global Health Action

View full text Add to dashboard Cite

show abstract

“…Universal screening is the most commonly adopted method in the USA, while in other countries such as Italy the selective approach is preferred [5]. …”

Section: Screening Controversiesmentioning

confidence: 99%

“…A positive result is defined as one value higher than target values. This approach is based on HAPO study [6] and is suggested by IADPSG [7], WHO [8], FIGO [5], and ADA [9]. In fact, HAPO study in 2008 demonstrated a direct correlation between maternal glucose levels and increased birth weight and neonatal hyperinsulinemia.…”

Section: Screening Controversiesmentioning

confidence: 99%

See 1 more Smart Citation

Scientific Evidence for Different Options for GDM Screening and Management: Controversies and Review of the Literature

Berghella

2017

BioMed Research International

View full text Add to dashboard Cite

Background. Gestational diabetes (GDM) affects up to 7% of pregnant women and is associated with several maternal and perinatal morbidities. International organizations suggest several different recommendations regarding how to screen and to manage GDM. Objective. We aimed to analyze the most important and employed guidelines about screening and management of GDM and we investigated existing related literature. Results. We found several different criteria for screening for GDM, for monitoring GDM, and for starting pharmacological therapy. When using IADPSG criteria, GDM rate increased, perinatal outcomes improved, and screening became cost-effective. Compared to no treatment, treatment of women meeting criteria for GDM by IADPSG criteria but not by other less strict criteria has limited evidence for an effect on adverse pregnancy outcomes.

show abstract

“…20 The dietary program should restore euglycemia, prevent ketosis, and lead to optimal weight gain, considering possible effects on fetal health. 6 Fetal concerns during a GDM pregnancy are excessive fetal growth and fetal distress that warrants suggested frequent fetal biophysical profiles and ultrasound assessments of fetal growth.…”

Section: Management Of Gdmmentioning

confidence: 99%

Role of Exercise in Reducing Gestational Diabetes Mellitus

Mottola

Artal

2016

Clinical Obstetrics &Amp; Gynecology

View full text Add to dashboard Cite

Exercise plays an important role in reducing the prevalence of gestational diabetes mellitus (GDM) in women with or without risk factors. GDM risk factors include obesity, family history of diabetes, high-risk ethnicity, increased maternal age, history of GDM, delivering a macrosomic infant, excessive gestational weight gain early in pregnancy (before glucose screening), sedentary behavior, low physical activity, and vitamin D deficiency. Most GDM patients can be managed with lifestyle modifications that include medical nutrition therapy and physical activity. When adherence is high and women are fully engaged in the exercise program, GDM can be effectively managed and prevented.

show abstract

The International Federation of Gynecology and Obstetrics (FIGO) Initiative on gestational diabetes mellitus: A pragmatic guide for diagnosis, management, and care#

Cited by 414 publications

References 0 publications

Diagnosis a posteriori? Assessing gestational diabetes screening and management in Morocco

Diagnosis a posteriori? Assessing gestational diabetes screening and management in Morocco

Scientific Evidence for Different Options for GDM Screening and Management: Controversies and Review of the Literature

Role of Exercise in Reducing Gestational Diabetes Mellitus

Contact Info

Product

Resources

About