What are the guidelines for gestational diabetes?

The diagnosis of GDM is made if at least two of the following four plasma glucose levels (measured during OGTT) are met or exceeded :

• Fasting: 95 mg/dL (5.3 mmol/L)
• 1 hour: 180 mg/dL (10.0 mmol/L)
• 2 hour: 155 mg/dL (8.6 mmol/L)
• 3 hour: 140 mg/dL (7.8 mmol/L)

WHO guideline for diabetes in pregnancy?

Advise women with type 1 diabetes who are planning a pregnancy to aim for the normal capillary plasma glucose target ranges:

• a fasting plasma glucose level of 5–7 mmol/litre on waking and.
• a plasma glucose level of 4–7 mmol/litre before meals at other times of the day.

Who should be screened for GDM?

Pregnant women without known diabetes mellitus should be screened for GDM after 24 weeks of gestation. Treatment of GDM results in a statistically significant decrease in the incidence of preeclampsia, shoulder dystocia, and macrosomia. Initial management includes glucose monitoring and lifestyle modifications.

Which organization’s screening method is best for testing for gestational diabetes?

The International Association of Diabetes and Pregnancy Study Groups (IADPSG) recommends a universal one-step screening strategy with the 75-g oral glucose tolerance test (OGTT) for gestational diabetes mellitus (GDM) (1).

Who should be screened for gestational diabetes?

All pregnant women should be screened for gestational diabetes using history, clinical risk factors, or glucose screening tests. Screening for gestational diabetes usually occurs at 24 to 28 weeks’ gestation.

How should we screen for gestational diabetes?

The oral glucose tolerance test is used to screen for gestational diabetes. Gestational diabetes is a specific type of diabetes that can develop in some women late in pregnancy (usually after the 24th week). Women who develop this complication do not have diabetes before becoming pregnant.

When should a woman be tested for gestational diabetes?

Pregnant women should take a screening test for gestational diabetes. In general, those without risk factors are recommended to take the test between 24-28 weeks of pregnancy (this period is when hormones produced by placenta will be strong enough to affect the action of insulin).

What are the diagnostic criteria for gestational diabetes?

The criteria for diagnosing gestational diabetes is different. Gestational diabetes should be diagnosed if the woman has either: a fasting plasma glucose level of 5.6mmol/l or above or. a 2-hour plasma glucose level of 7.8mmol/l or above.