Diagnosis of more gestational diabetes lead to better pregnancy outcomes: Comparing the International Association of the Diabetes and Pregnancy Study Group criteria, and the Carpenter and Coustan criteria

Journal of Diabetes Investigation
En-Tzu WuChien-Nan Lee

Abstract

The International Association of the Diabetes and Pregnancy Study Group (IADPSG) criteria for gestational diabetes are associated with increased prevalence. However, it remains unknown if intervention for more women with gestational diabetes mellitus by the IADPSG criteria results in better pregnancy outcomes than adopting the Carpenter and Coustan (C&C) criteria in Asian populations. This was a retrospective cohort study. A total of 1,840 women, 952 subjects by the IADPSG criteria and 888 subjects by the C&C criteria, who delivered singletons in 2011 in a single tertiary center, were included in the study. The same therapeutic interventions were offered to women with gestational diabetes mellitus by the two criteria. Maternal and neonatal outcomes were evaluated. Adopting the IADPSG criteria increased the prevalence of gestational diabetes mellitus diagnosis to 13.44%, compared with 2.59% by the C&C criteria. The diagnosis was made 3 weeks earlier by the IADPSG criteria (27 vs 30.5 weeks, P < 0.0001). Adopting the IADPSG criteria was associated with reduced risk of primary cesarean section (adjusted odds ratio 0.79, 95% confidence interval 0.63-0.998, P < 0.05) and having any one of the adverse fetal outcomes (adjusted odds ra...Continue Reading

References

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Citations

Mar 16, 2017·PloS One·Chun-Heng KuoHung-Yuan Li
Aug 22, 2018·Obstetrics and Gynecology·Gaia PocobelliSascha Dublin
Sep 26, 2019·BJOG : an International Journal of Obstetrics and Gynaecology·B R Shah, F Sharifi
Dec 6, 2019·Current Diabetes Reports·Chun-Heng Kuo, Hung-Yuan Li
Jul 14, 2017·Clinical Diabetes and Endocrinology·B BhavadhariniV Mohan
Feb 15, 2017·The Journal of Obstetrics and Gynaecology Research·Suheyla GorarAyhan Hilmi Cekin
Jul 7, 2020·Journal of Immunology Research·Adnette FagninouAkadiri Yessoufou
Jan 24, 2020·Obstetrics & Gynecology Science·Kyoung-Hee LeeMinhyoung Kim
Apr 3, 2020·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·Adriana Sánchez-GarcíaJosé Gerardo González-González
Feb 15, 2021·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Wen-Wei HsuChien-Nan Lee
Jun 26, 2021·World Journal of Diabetes·Leon de WitBas B van Rijn
May 23, 2021·The Journal of Clinical Endocrinology and Metabolism·Kuan-Yu ChenHung-Yuan Li

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Methods Mentioned

BETA
cesarean section
cesarean

Software Mentioned

Stata
SE

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