No consensus reached on gestational diabetes

Just days before Australasian Diabetes in Pregnancy Society (ADIPS) president Dr Alison Nankervis was due to speak about the proposed new guidelines at the Pathology 2012 conference, she learned that the Australian Diabetes Society (ADS) was still not prepared to endorse them.

It’s been more than 18 months since Dr Nankervis began working on the guidelines, which would likely double the number of women diagnosed and treated for gestational diabetes.

“I’m so over it,” an exasperated Dr Nankervis said. “This is the 16th draft.”

The proposal recommends all women who have not previously been diagnosed with diabetes have a glucose tolerance test at 24–28 weeks’ gestation, with the threshold for fasting blood glucose being lowered from 5.5mmol/L to 5.1mmol/L, a threshold equating to a 75% increased risk of having a larger baby. 

Gestational diabetes would be diagnosed with a one-hour reading