We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Potential impact of American Diabetes Association (2000) criteria for diagnosis of gestational diabetes mellitus in Spain.
- Authors
Ricart, W.; López, J.; Mozas, J.; Pericot, A.; Sancho, M. A.; González, N.; Balsells, M.; Luna, R.; Cortázar, A.; Navarro, P.; Ramírez, O.; Flández, B.; Pallardo, L. F.; Hernández, A.; Ampudia, J.; Fernández-Real, J. M.; Corcoy, R.
- Abstract
Aims/hypothesis: This study was carried out to determine the impact of American Diabetes Association (ADA) 2000 criteria for the diagnosis of gestational diabetes mellitus (GDM) in the Spanish population. Methods: Pregnant women were assigned to one of four categories: negative screenees, false-positive screenees, ADA-only-GDM (untreated) and GDM according to National Diabetes Data Group (NDDG) criteria (treated). Fetal macrosomia and Caesarean section were defined as primary outcomes, with seven additional secondary outcomes. Results: Of 9,270 pregnant women screened for GDM, 819 (8.8%)met NDDG criteria. If the threshold for defining GDM had been lowered to ADA criteria, an additional 2.8% of women would have been defined as having the condition (relative increase of 31.8%). Maternal characteristics of women with ADA-only-GDM were between those of false-positive screenees and women with NDDG-GDM. The risk of diabetes-associated complications was slightly elevated in the individuals who would have been classified as abnormal only after the adoption of ADA criteria. In addition, the ADA-only-GDM contribution to morbidity was lower than that of other variables, especially BMI. Conclusions/interpretation: Use of the ADA criteria to identify GDM would result in a 31.8% increase in prevalence compared with NDDG criteria. However, as the contribution of these additionally diagnosed cases to adverse GDM outcomes is not substantial, a change in diagnostic criteria is not warranted in our setting.
- Subjects
SPAIN; DIABETES; PREGNANCY; CARBOHYDRATE intolerance; NUTRITION disorders
- Publication
Diabetologia, 2005, Vol 48, Issue 6, p1135
- ISSN
0012-186X
- Publication type
Article
- DOI
10.1007/s00125-005-1756-9