Gestational diabetes mellitus: Confusion among medical doctors caused by multiple international criteria
- PMID: 25546555
- DOI: 10.1111/jog.12661
Gestational diabetes mellitus: Confusion among medical doctors caused by multiple international criteria
Abstract
Aim: The aim of this study was to appraise the current regional practices of screening, diagnosis and follow-up of gestational diabetes mellitus (GDM) because the approach to GDM is frequently inconsistent.
Material and methods: A 21-item questionnaire was distributed to physicians taking care of pregnant women in seven hospitals in the United Arab Emirates and one hospital in Oman. Besides assessing their attitudes towards testing for GDM, the questionnaire assessed familiarity with the Hyperglycemia and Pregnancy Outcome study and the International Association of Diabetes in Pregnancy Study Groups GDM guidelines.
Results: One hundred and forty-eight (93%) of the 159 questionnaires distributed to the medical doctors (106 [72%] obstetricians and 42 [28%] internists) were returned. For GDM screening, six hospitals used five different tests; two hospitals utilized one single test. For GDM diagnosis, six hospitals employed the 2-h, 75-g oral glucose tolerance test (OGTT) (four different criteria) while two hospitals used the 3-h, 100-g OGTT (single criteria). For post-delivery follow-up, the 2-h, 75-g OGTT and fasting plasma glucose were accepted by 103 (70%) and 38 (26%) of the 148 medical doctors, respectively. Ninety-eight (69%) of 143 responding physicians were aware of the Hyperglycemia and Pregnancy Outcome study, while 85 (61%) of 140 responders were familiar with the guidelines of the International Association of Diabetes in Pregnancy Study Groups; this knowledge was independent of specialty, seniority, academia, years in practice or country trained.
Conclusions: Although this study is parochial, its implications are global; that is, further education of caregivers would make the discordant approach to GDM (within and between hospitals) more harmonious and improve the obstetric care of pregnant women.
Keywords: International Association of Diabetes in Pregnancy Study Groups; criteria; diagnosis; gestational diabetes; screening.
© 2014 The Authors. Journal of Obstetrics and Gynaecology Research © 2014 Japan Society of Obstetrics and Gynecology.
Similar articles
-
The 2019 Flemish consensus on screening for overt diabetes in early pregnancy and screening for gestational diabetes mellitus.Acta Clin Belg. 2020 Oct;75(5):340-347. doi: 10.1080/17843286.2019.1637389. Epub 2019 Jul 1. Acta Clin Belg. 2020. PMID: 31259665
-
The impact of adoption of the international association of diabetes in pregnancy study group criteria for the screening and diagnosis of gestational diabetes.Am J Obstet Gynecol. 2015 Feb;212(2):224.e1-9. doi: 10.1016/j.ajog.2014.08.027. Epub 2014 Aug 27. Am J Obstet Gynecol. 2015. PMID: 25173183
-
Gestational diabetes mellitus (GDM) diagnosis, therapy and follow-up care: Practice Guideline of the German Diabetes Association(DDG) and the German Association for Gynaecologyand Obstetrics (DGGG).Exp Clin Endocrinol Diabetes. 2014 Jul;122(7):395-405. doi: 10.1055/s-0034-1366412. Epub 2014 Jul 11. Exp Clin Endocrinol Diabetes. 2014. PMID: 25014091 No abstract available.
-
Gestational diabetes: overview of the new consensus screening strategy and diagnostic criteria.Acta Clin Belg. 2012 Jul-Aug;67(4):255-61. doi: 10.2143/ACB.67.4.2062669. Acta Clin Belg. 2012. PMID: 23019800 Review.
-
Management of gestational diabetes by physicians in Turkey.Prim Care Diabetes. 2010 Oct;4(3):173-80. doi: 10.1016/j.pcd.2010.05.004. Epub 2010 Jun 16. Prim Care Diabetes. 2010. PMID: 20558123
Cited by
-
Hyperglycaemia in pregnancy: knowledge and correlates amongst antenatal care providers in healthcare facilities in Jos, Nigeria.Afr Health Sci. 2023 Mar;23(1):384-393. doi: 10.4314/ahs.v23i1.40. Afr Health Sci. 2023. PMID: 37545912 Free PMC article.
-
Incidence of gestational diabetes mellitus in the United Arab Emirates; comparison of six diagnostic criteria: The Mutaba'ah Study.Front Endocrinol (Lausanne). 2022 Dec 12;13:1069477. doi: 10.3389/fendo.2022.1069477. eCollection 2022. Front Endocrinol (Lausanne). 2022. PMID: 36578957 Free PMC article.
-
Practices and barriers to screening for hyperglycaemia in pregnancy among providers of antenatal care in Jos, Nigeria.Afr J Lab Med. 2022 Oct 31;11(1):1845. doi: 10.4102/ajlm.v11i1.1845. eCollection 2022. Afr J Lab Med. 2022. PMID: 36337770 Free PMC article.
-
Development and evaluation of an online questionnaire to identify women at high and low risk of developing gestational diabetes mellitus.BMC Pregnancy Childbirth. 2022 Apr 14;22(1):321. doi: 10.1186/s12884-022-04629-8. BMC Pregnancy Childbirth. 2022. PMID: 35421942 Free PMC article.
-
Prevalence of Gestational Diabetes Mellitus in the Middle East and North Africa, 2000-2019: A Systematic Review, Meta-Analysis, and Meta-Regression.Front Endocrinol (Lausanne). 2021 Aug 26;12:668447. doi: 10.3389/fendo.2021.668447. eCollection 2021. Front Endocrinol (Lausanne). 2021. PMID: 34512543 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical