Lab adopts controversial guidelines

Dr Lee Price, chemical pathologist and endocrinologist at Sullivan Nicolaides Pathology, told MO that the new cut-offs for GDM developed by the Australian Diabetes in Pregnancy Society (ADIPS) will be implemented in their laboratories within the next few weeks. 

Dr Alison Nankervis, ADIPS president, said the situation remained “very confusing” for GPs, with no broad consensus in favour of the guidelines from professional colleges, societies or pathology providers. 

“I would say that if [a] lab, using whatever criteria they used, reported gestational diabetes then that should just be accepted,” she said. 

Professor Michael Permezel, president of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, said although the new guidelines “have merit” he advised clinicians to use the previous cut-points until an expected consensus was reached at the US National Institutes of Health