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Diagnosis and management of gestational diabetes mellitus guidelines by DIPSI (Revised)

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Abstract

Gestational diabetes mellitus (GDM) is diabetes that appears during pregnancy, presenting an opportunity for early testing and care to prevent non-communicable diseases (NCDs). GDM has short-term impacts on both mother and offspring and increases the risk of future diabetes, including type-2 diabetes, due to possible epigenetic changes. Therefore, it is crucial to screen all pregnant women for glucose intolerance with an economical and reliable test recommended by DIPSI and approved by the Ministry of Health & Family Welfare Government of India. Treatment to achieve euglycemia can prevent the epidemic of NCD. Post-partum follow-up is crucial to encourage weight management and lifestyle adjustments in mothers to prevent the onset of type 2 diabetes. Similarly, children of these mothers should adopt a healthy lifestyle to prevent future NCD risk.

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Authors and Affiliations

  1. Lifecare Diabetes Centre, New Delhi, India

    V. Seshiah, V. Balaji, Rajeev Chawla, Sunil Gupta, Shalini Jaggi, C. Anjalakshi, Hema Divakar, Samar Banerjee, N. Bhavatharini & Uday Thanawala

  2. Research Institute & Diabetes Care Centre, Chennai, India

    V. Seshiah & V. Balaji

  3. North Delhi Diabetes & Cardiac Centre, New Delhi, India

    Rajeev Chawla

  4. Sunil’s Diabetes Care n’ Research Centre, Nagpur, India

    Sunil Gupta

  5. Lifecare Diabetes Centre, New Delhi, India

    Shalini Jaggi

  6. A C Hospital, Chennai, India

    C. Anjalakshi

  7. Divakars Speciality Hospital, Bengaluru, India

    Hema Divakar

  8. Vivekananda Institute of Medical Sciences, Kolkatta, India

    Samar Banerjee

  9. S. R. C. Diabetes Care Centre, Erode, India

    N. Bhavatharini

  10. Thanawala’s Maternity Home, Navi Mumbai, India

    Uday Thanawala

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  1. V. Seshiah
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Correspondence to Shalini Jaggi.

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Preamble

The Ministry of Health Government of India has mandated screening all pregnant women for gestational diabetes mellitus (GDM) as part of the routine antenatal care, in line with 2014 national guidelines [1]. The Ministry of Health Government of India released national guidelines for diagnosing and managing GDM in February 2018 [2]. Comprehensive primary healthcare under the Ayushman Bharat – Health & Wellness Centres (AB-HWC) scheme has included the screening for gestational diabetes as a part of 4 antenatal checks, part of a 12 component check in “Care in pregnancy and childbirth” in 2022 [3]. However, operationalisation at the primary healthcare level is still suboptimal. One of the reasons for this inertia could be the incongruent opinion regarding the diagnosis and management of GDM among different healthcare providers in our country. It is time that clinicians review the Indian evidence and accept that the “Indian problem needs Indian solution” and there is universal acceptance of the DIPSI criteria.

Extended panel of experts (in alphabetical order)

Dr. A. Paneerselvam, Dr. AK Das, Dr. Alka Kriplani, Dr. Alok Kanungo, Dr. Anand Shankar, Dr. Anil Kapur, Dr. Anuj Maheshwari, Dr. Banshi Saboo, Dr. Bharti Kalra, Dr. B.K. Sahay, Dr. C. Anand Moses, Dr. Cynthia Alexander, Dr. Dharini Krishnan , Dr. Dharmarajan, Dr. HB Chandalia, Dr. Madhuri Balaji, Dr. Mayur Patel, Dr. Munichoodappa C, Dr. N. Rajendran, Dr. P. V. Rao, Dr. Pikee Saxena , Dr. Rakesh Sahay, Dr. Rajesh Jain, Dr. Rutul Gokalani, Dr. Sanjay Gupte, Dr. Shashank Joshi, Dr. SK. Sharma, Dr. Shailaja Kale, Dr. Sujatha Mishra, Dr. S.V. Madhu, Dr. Shanmugam A, Dr. Susheela Rani, Dr. Usha Sriram, Dr. Vijaya, Dr. Vinita Das.

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Seshiah, V., Balaji, V., Chawla, R. et al. Diagnosis and management of gestational diabetes mellitus guidelines by DIPSI (Revised). Int J Diabetes Dev Ctries 43, 485–501 (2023). https://doi.org/10.1007/s13410-023-01222-3

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