Screening for gestational diabetes mellitus by a model based on risk indicators: a prospective study
- PMID: 14634573
- DOI: 10.1067/s0002-9378(03)00601-x
Screening for gestational diabetes mellitus by a model based on risk indicators: a prospective study
Abstract
Objective: This study was performed to prospectively evaluate a screening model for gestational diabetes mellitus on the basis of clinical risk indicators.
Study design: In a prospective multicenter study with 5235 consecutive pregnant women, diagnostic testing with a 2-hour 75-g oral glucose tolerance test was routinely performed in women with risk indicators and offered to women without risk indicators as part of the study.
Results: Forty-four percent of the women underwent testing, 43% declined participation, 6% did not speak Danish, and 7% could not be contacted. By extrapolation of the results from tested women to the whole group in question, a 2.4% prevalence of gestational diabetes mellitus was calculated. Sensitivity and specificity of the model was 80.6 (73.7-87.6) and 64.8 (63.5-66.1), respectively (95% CIs).
Conclusion: Under ideal conditions, sensitivity of the model was comparable with universal screening by fasting glucose or a 1-hour 50-g glucose challenge test. Both screening and diagnostic testing could be avoided in two thirds of all pregnant women.
Similar articles
-
Glucose challenge test for detecting gestational diabetes mellitus: a systematic review.BJOG. 2012 Mar;119(4):393-401. doi: 10.1111/j.1471-0528.2011.03254.x. Epub 2012 Jan 20. BJOG. 2012. PMID: 22260369 Review.
-
Screening for gestational diabetes mellitus in Nigerian pregnant women using fifty-gram oral glucose challenge test.West Afr J Med. 2008 Jul;27(3):139-43. West Afr J Med. 2008. PMID: 19256316
-
Oral glucose tolerance testing at gestational weeks < or =16 could predict or exclude subsequent gestational diabetes mellitus during the current pregnancy in high risk group.Eur J Obstet Gynecol Reprod Biol. 2005 Jul 1;121(1):51-5. doi: 10.1016/j.ejogrb.2004.11.006. Eur J Obstet Gynecol Reprod Biol. 2005. PMID: 15989984
-
Screening for gestational diabetes mellitus in pregnant females.Saudi Med J. 2000 Feb;21(2):155-60. Saudi Med J. 2000. PMID: 11533772
-
Methods of screening for and diagnosing of gestational diabetes.Clin Perinatol. 1993 Sep;20(3):593-602. Clin Perinatol. 1993. PMID: 8222471 Review.
Cited by
-
Applying WHO2013 diagnostic criteria for gestational diabetes mellitus reveals currently untreated women at increased risk.Acta Diabetol. 2023 Dec;60(12):1663-1673. doi: 10.1007/s00592-023-02148-2. Epub 2023 Jul 18. Acta Diabetol. 2023. PMID: 37462764 Free PMC article.
-
Regional divergence and time trends in the prevalence of gestational diabetes mellitus: a national Danish cohort study.Acta Diabetol. 2023 Mar;60(3):379-386. doi: 10.1007/s00592-022-02013-8. Epub 2022 Dec 20. Acta Diabetol. 2023. PMID: 36539623 Free PMC article.
-
Cardiovascular and metabolic morbidity in women with previous gestational diabetes mellitus: a nationwide register-based cohort study.Cardiovasc Diabetol. 2022 Sep 9;21(1):179. doi: 10.1186/s12933-022-01609-2. Cardiovasc Diabetol. 2022. PMID: 36085031 Free PMC article.
-
DNA Methylation and Gene Expression in Blood and Adipose Tissue of Adult Offspring of Women with Diabetes in Pregnancy-A Validation Study of DNA Methylation Changes Identified in Adolescent Offspring.Biomedicines. 2022 May 26;10(6):1244. doi: 10.3390/biomedicines10061244. Biomedicines. 2022. PMID: 35740266 Free PMC article.
-
Proteomics Studies in Gestational Diabetes Mellitus: A Systematic Review and Meta-Analysis.J Clin Med. 2022 May 12;11(10):2737. doi: 10.3390/jcm11102737. J Clin Med. 2022. PMID: 35628864 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical