Acta Diabetologica

, Volume 46, Issue 1, pp 51–54 | Cite as

A single test procedure to diagnose gestational diabetes mellitus

  • C. Anjalakshi
  • V. Balaji
  • Madhuri S. Balaji
  • S. Ashalata
  • Sheela Suganthi
  • T. Arthi
  • M. Thamizharasi
  • V. Seshiah
Original Article

Abstract

Universal screening for gestational diabetes mellitus (GDM), detects more cases and improves maternal and offspring prognosis. Of all the screening tests, World Health Organization (WHO) procedure is simple and cost effective; the only disadvantage is that the pregnant woman has to come in the fasting state to undergo oral glucose tolerance test (OGTT). Hence, we undertook a study to elucidate a test that is casual and reliable to diagnose GDM. A total of 800 pregnant women underwent 75-g glucose challenge test (GCT) irrespective of the time of the last meal and their 2-h plasma glucose (PG) was estimated. They also underwent a 2-h 75-g OGTT recommended by WHO after 72 h. There was no statistically significant difference in the glycemic profile between GCT and WHO OGTT in the diagnosis of GDM. In conclusion, GCT performed irrespective of the last meal timing is a patient-friendly approach and causes least disturbance in the pregnant woman’s routine activities.

Keywords

Gestational diabetes mellitus (GDM) 2-h 75-g oral glucose tolerance test (OGTT) 2-h 75-g oral glucose challenge test (GCT) American Diabetes Association (ADA) World Health Organization (WHO) 

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Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • C. Anjalakshi
    • 1
  • V. Balaji
    • 2
  • Madhuri S. Balaji
    • 2
  • S. Ashalata
    • 2
  • Sheela Suganthi
    • 2
  • T. Arthi
    • 2
  • M. Thamizharasi
    • 2
  • V. Seshiah
    • 2
  1. 1.Institute of Obstetrics and GynecologyChennaiIndia
  2. 2.Dr V Seshiah Diabetes Care and Research InstituteChennaiIndia

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