Better birth outcomes with new GDM international guides
The new guidelines have been accepted by the Australian Diabetes in Pregnancy Society (ADIPS) and the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) but have been rejected by the RACGP.
In the first evaluation of the International Association of Diabetes and Pregnancy Study Group criteria, Spanish researchers compared pregnancy and birth outcomes for two groups of women diagnosed via the new and the old guidelines.
In the first group, assessed using the traditional two-step Carpenter-Coustan (CC) criteria of a fasting glucose of 5.5mmol/L and 8mmol/L after two hours, 10.6% of the 1750 women were diagnosed.
In the second group, assessed using the new threshold values of a fasting glucose of 5.1mmol/L or higher, 10mmol/L or higher after one hour, and 8.5mmol/L or higher after two hours, 35.5% of the 1526 women were diagnosed.
While the increase in prevalence was expected, pregnancy and birth