Diabetes criteria disparity could confuse

Last year consensus on guidelines for testing and diagnosing GDM was finally reached between the Australian Diabetes in Pregnancy Society (ADIPS) and the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) following three years of negotiations and at least 16 redrafts.

Current ADIPS and RANZCOG recommended threshold values for diagnosis are a fasting glucose value of 5.1mmol/L or higher, 10mmol/L or higher after one hour, and a value of 8.5mmol/L or higher after two hours.

At the time, RANZCOG endorsed the guidelines after ADIPS agreed to define suggested treatment blood glucose targets as an area “for further research” and agreed to stratify early testing of women with risk factors into moderate- and high-risk categories.

The criteria means the college is in line with new international guidelines developed by the International Association of Diabetes in Pregnancy Study Groups. These guidelines have