Skip to main content

Advertisement

SpringerLink
Log in

Effect of the new diagnostic criteria for gestational diabetes mellitus among Japanese women

  • Original Article
  • Published:
Diabetology International Aims and scope Submit manuscript

Abstract

Background

The new diagnostic criteria for gestational diabetes mellitus (GDM), proposed by the International Association of Diabetes and Pregnancy Study Groups in 2010, were recently accepted in Japan. Therefore, the frequency of GDM is four times higher than previously recorded. This means that GDM has become a more clinically important disease. This study aimed to assess how the number of patients with GDM as well as its complications have changed after adoption of the new criteria.

Methods

A total of 3,610 pregnant women in the Japan Assessment of GDM Screening Trial and Okayama University Hospital were included. We analyzed the prevalence of GDM and its complications using the old and new criteria.

Results

The prevalence of perinatal outcomes was increased by adopting the new criteria. There were many important perinatal complications in the additional new GDM criteria; therefore, patients with mild GDM, such as one-point disorder patients, should have careful interventions. Admission to the neonatal intensive care unit was significantly increased (p = 0.01) according to the new GDM criteria because the old criteria were stricter than the new ones. GDM patients with obesity (BMI ≥ 25 kg/m2) had a high frequency of perinatal complications that could require active intervention and strict follow-up.

Conclusions

Because the new GDM criteria greatly affect perinatal complications, intervention for GDM starting at an early stage and strict follow-up (especially GDM with obesity) are important for reducing complications as well as the incidence of diabetes and metabolic syndrome in the mother and child.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Shin J, Lee J, Kim H, Choi Y, Cho J, Yoon K. Prevention of diabetes: a strategic approach for individual patients. Diabetes Metab Res Rev. 2012;28(Suppl 2):79–84.

    Article  PubMed  Google Scholar 

  2. Getahun D, Nath C, Ananth C, Chavez M, Smulian J. Gestational diabetes in the United States: temporal trends 1989 through 2004. Am J Obstet Gynecol. 2008;525:e1–5.

    Google Scholar 

  3. International Association of Diabetes and Pregnancy Study Groups. Consensus Panel. International Association of Diabetes and Pregnancy Study Groups recommendations on the diagnosis and classification of hyperglycemia in pregnancy. Diabetes Care. 2010;33:676–82.

    Article  Google Scholar 

  4. The HAPO Study Cooperative Research Group. Hyperglycemia and adverse pregnancy outcomes. N Engl J Med. 2008;358:1991–2002.

    Article  Google Scholar 

  5. Morikawa M, Yamada T, Yamada T, Akaishi R, Nishida R, Cho K, et al. Change in the number of patients after the adoption of IADPSG criteria for hyperglycemia during pregnancy in Japanese women. Diabetes Res Clin Pract. 2010;90:339–42.

    Article  PubMed  Google Scholar 

  6. Crowther CA, Hiller JE, Moss JR, McPhee AJ, Jeffries WS, Robinson JS. Effect of treatment of gestational diabetes mellitus on pregnancy outcomes. N Engl J Med. 2005;352:2477–86.

    Article  CAS  PubMed  Google Scholar 

  7. Landon MB, Spong CY, Thom E, Carpenter MW, Ramin SM, Casey B, et al. A multicenter, randomized trial of treatment for mild gestational diabetes. N Engl J Med. 2009;361:1339–48.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  8. Gillman MW, Oakey H, Baghurst PA, Volkmer RE, Robinson JS, Crowther CA. Effect of treatment of gestational diabetes mellitus on obesity in the next generation. Diabetes Care. 2010;33:964–8.

    Article  PubMed Central  PubMed  Google Scholar 

  9. Langer O, Berkus MD, Huff RW, Samueloff A. Shoulder dystocia: should the fetus weighing greater than or equal to 4000 grams be delivered by cesarean section? Am J Obstet Gynecol. 1991;165:831–7.

    Article  CAS  PubMed  Google Scholar 

  10. Veciana MD, Major CA, Morgan MA, Asrat T, Toohey JS, Lien JM, et al. Postrandial versus preprandial blood glucose monitoring in women with gestational diabetes mellitus requiring insulin therapy. N Engl J Med. 1995;333:1237–41.

    Article  PubMed  Google Scholar 

  11. Riskin-Mashiah S, Damti A, Younes G, Auslender R. First trimester fasting hyperglycemia as a predictor for the development of gestational diabetes mellitus. Eur J Obstet Gynecol Reprod Biol. 2010;152:163–7.

    Article  CAS  PubMed  Google Scholar 

  12. Maegawa Y, Sugiyama T, Kusaka H, Mitao M, Toyoda N. Screening tests for gestational diabetes in Japan in the 1st and 2nd trimester of pregnancy. Diabetes Res Clin Pract. 2003;62:47–53.

    Article  PubMed  Google Scholar 

  13. Nilofer AR, Raju VS, Dakshayini BR, Zaki SA. Screening in high risk group of gestational diabetes mellitus with its maternal and fetal outcomes. Indian J. Endocrinol Metab. 2012;16(Suppl 1):s74–8.

    PubMed Central  PubMed  Google Scholar 

  14. Gluckman PD, Hanson MA. Living with the past: Evolution, development, and patterns of disease. Science. 2004;305:1733–6.

    Article  CAS  PubMed  Google Scholar 

  15. Kim SY, England L, Sappenfield W, Wilson HG, Bish CL, Salihu HM. Racial/ethnic differences in the percentage of gestational diabetes mellitus cases attributable to overweight and obesity, Florida, 2004–2007. Prev Chronic Dis. 2012;9:e88.

    PubMed Central  PubMed  Google Scholar 

  16. Takimoto H, Sugiyama T, Fukuoka H, Kato N, Yoshiike N. Maternal weight gain ranges for optimal fetal growth in Japanese women. Gynecol Obstet. 2006;92:272–8.

    CAS  Google Scholar 

  17. Rogozinska E, Jolly K, Glinkowski S, Roseboom T, Tomlinson JW, Kunz R, et al. Effects of interventions in pregnancy on maternal weight and obstetric outcomes meta-analysis of randomized evidence. BMJ. 2012;344:e2088.

    Article  PubMed Central  PubMed  Google Scholar 

  18. Hedderson MM, Gunderson EP, Ferrara A. Gestational weight gain and risk of gestational diabetes mellitus. Obstet Gynecol. 2010;115:597–604.

    Article  PubMed Central  PubMed  Google Scholar 

  19. Cheng YW, Chung JH, Block IK, Inturrisi M, Shafer S, Caughey AB. Gestational weight gain and gestational diabetes mellitus perinatal outcomes. Obstet Gynecol. 2008;112:1015–22.

    Article  PubMed  Google Scholar 

  20. Petiit DJ, Baird HR, Aleck KA, Bennett PH, Knowler WC. Excessive obesity in offspring of Pima Indian women with diabetes during pregnancy. N Engl J Med. 1983;308:242–5.

    Article  Google Scholar 

  21. Feig DS, Zinman B, Wang X, Hux JE. Risk of development of diabetes mellitus after diagnosis of gestational diabetes. CMAJ. 2008;179:229–34.

    Article  PubMed Central  PubMed  Google Scholar 

  22. Bellamy L, Casas JP, Hingorani AD, Williams D. Type 2 diabetes mellitus after gestational diabetes: a systematic review and meta-analysis. Lancet. 2009;373:1773–9.

    Article  CAS  PubMed  Google Scholar 

  23. Gunderson EP, Quesenberry CP, Jacobs DR, Feng J, Lewis CE, Sidney S. Longitudinal study of pregnancy cardiometabolic risk factors and subsequent risk of gestational diabetes mellitus. Am J Epidemiol. 2010;172:1131–43.

    Article  PubMed Central  PubMed  Google Scholar 

  24. Vargas LG, Addison SS, Nistala R, Kurukulasuriya D, Sowers JR. Gestational diabetes and the offspring: Implications in the development of the cardiorenal metabolic syndrome in offspring. Cardiorenal Med. 2012;2:134–42.

    Article  Google Scholar 

Download references

Conflict of interest

All author declare that we have no conflict of interest.

Author information

Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikatacho, Kita-ku, Okayama, Japan

    Etsuko Nobumoto, Hisashi Masuyama & Yuji Hiramatsu

  2. Department of Obstetrics and Gynecology, Tohoku University School of Medicine, Sendai, Miyagi, Japan

    Takashi Sugiyama

  3. Department of Obstetrics, Mie Chuo Medical Center, Tsu, Mie, Japan

    Hideto Kusaka

  4. Suzuka University of Medical Science, Suzuka, Mie, Japan

    Nagayasu Toyoda

Authors
  1. Etsuko Nobumoto
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Hisashi Masuyama
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Yuji Hiramatsu
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Takashi Sugiyama
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Hideto Kusaka
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Nagayasu Toyoda
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Hisashi Masuyama.

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Nobumoto, E., Masuyama, H., Hiramatsu, Y. et al. Effect of the new diagnostic criteria for gestational diabetes mellitus among Japanese women. Diabetol Int 6, 226–231 (2015). https://doi.org/10.1007/s13340-014-0193-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13340-014-0193-8

Keywords

Search

Navigation