Adopting the new World Health Organization diagnostic criteria for gestational diabetes: How the prevalence changes in a high-risk region in Australia

Diabetes Research and Clinical Practice
Vincent W WongHamish Russell

Abstract

In this study, we assessed changes in prevalence of gestational diabetes mellitus (GDM) in a region with diverse cultural backgrounds in Australia under the new World Health Organization (WHO) diagnostic criteria, with reference to the woman's ethnicity, age and pre-pregnant body mass index (BMI). We recorded results of all 75-gram oral glucose tolerance tests (OGTTs) performed on pregnant women between February and December 2015 together with their demographic details, and determined the prevalence of GDM based on the old Australian Diabetes in Pregnancy Society (ADIPS) and the new WHO criteria respectively. Over that period, 2140 OGTTs were performed in 1725 pregnant women. The prevalence of GDM was 14.8% (255/1725 women) under old ADIPS criteria, but went up to 29.6% (510/1725) when using WHO criteria. An increase in prevalence was observed in all ethnic groups. Women from East/South-East Asia had the lowest increment (from 19.2 to 22.3%) while those from South Asia had the highest (from 22.0 to 44.4%). Prevalence of GDM was 45.9% amongst women with BMI>30kg/m2. For women from South Asia with BMI>30kg/m2, 70.0% would have GDM. Birth outcomes were similar between women who would have GDM under WHO but not the old ADIPS criter...Continue Reading

Citations

Jan 24, 2018·The Australian & New Zealand Journal of Obstetrics & Gynaecology·N Wah CheungNeil Athayde
Jan 22, 2019·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Mawson WangNgai Wah Cheung
Mar 8, 2019·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Cong Luat NguyenColin W Binns
Apr 3, 2019·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Vincent W WongBin Jalaludin
May 8, 2018·Advanced Materials·Owen S FentonRobert Langer
May 1, 2020·International Journal of Environmental Research and Public Health·Shamil D CoorayHelena J Teede
Apr 3, 2019·Nutrition & Dietetics : the Journal of the Dietitians Association of Australia·Ching S WanRosalie Aroni
Jul 25, 2018·Current Diabetes Reports·Lili YuenDavid Simmons
Jun 24, 2018·Diabetes Care·N Wah Cheung, Robert G Moses
Dec 19, 2020·International Journal of Environmental Research and Public Health·Josephine G Laurie, H David McIntyre
Mar 2, 2021·Seminars in Reproductive Medicine·Shamil D CoorayHelena J Teede

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