Insights uncovered from experiencing a rise in the incidence of gestational diabetes at a Melbourne hospital
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To the Editor: It is with great interest that we read the recent publication in Diabetologia entitled ‘New diagnostic criteria for gestational diabetes mellitus and their impact on the number of diagnoses and pregnancy outcomes’ , in which Koning et al address the contentious recent change in diagnostic criteria for gestational diabetes mellitus (GDM). In evaluating the impact of the WHO 2013 criteria compared with the WHO 1999 criteria, they identified that women diagnosed with GDM based on the new, lower fasting blood glucose criteria of 5.1–6.9 mmol/l had an increased risk of adverse outcomes if not treated, as compared with women with normal glucose tolerance. Hence, they concluded that the lower fasting blood glucose level criteria of ≥5.1 mmol/l is justified and should be adopted in the Netherlands, where their study was carried out. Following on from this, Koning et al expressed concern about relaxing the 2 h plasma glucose (2HG) criteria for GDM, suggesting further studies...
KeywordsDiagnostic criteria Gestational diabetes Incidence
2 h plasma glucose
Australasian Diabetes in Pregnancy Society
Gestational diabetes mellitus
L. Bach (Department of Endocrinology and Diabetes, Alfred Health, Australia) for participation in the discussion regarding which outpatient costs should be considered in our estimates.
All authors were responsible for drafting the article and revising it critically for important intellectual content. All authors approved the version to be published.
Duality of interest
The authors certify that they have no affiliations with, or involvement in, any organisation or entity with any financial or non-financial interest in the subject matter or materials discussed in this manuscript. The authors declare that there is no duality of interest associated with this manuscript.
- 3.Duran A, Sáenz S, Torrejón MJ et al (2014) Introduction of IADPSG criteria for the screening and diagnosis of gestational diabetes mellitus results in improved pregnancy outcomes at a lower cost in a large cohort of pregnant women: the St. Carlos Gestational Diabetes Study. Diabetes Care 37:2442–2450CrossRefPubMedGoogle Scholar