Diagnosis of gestational diabetes The diagnosis of gestational diabetes is done by: 2 step approach-By ACOG-American College of Obstetricians and Gynecologists 1 step approach-By WHO & IAD PSG (International association of Diabetes & Pregnancy Study Group)-Recommended by DIPSI (Diabetes in pregnancy study group India).
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Criteria for diagnosing gestational diabetes Carpenter and Coustan Criteria National Diabetes data group Time 100 g Glucose Load 100 g Glucose Load Fasting 95 mg/dl 105 mg/dl 1 hour 180 mg/dl 190 mg/dl 2 hours 155 mg/dl 165 mg/dl 3 hours 140 mg/dl 145 mg/dl → If out of these any 2 values are
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Risk for Gestational Diabetes Low risk: Age<25years BMI= Normal before pregnancy Normal weight at birth No family history of diabetes No H/O poor obstetrical outcome No H/O poor abnormal glucose tolerance Average risk: Age>25years Overweight before pregnancy Blood sugar levels are ↑ after 24-28 weeks ↑weight at birth-previous baby High risk: Age>30 years Marked
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Types of diabetes in pregnancy There are 2 types of diabetes: Overt Diabetes: Diabetic Female has conceived Blood sugar levels are ↑ from day 1 of pregnancy Free radicals are formed from Day 1 ↑ chances of congenital malformations in baby Gestational Diabetes: Female was normoglycemic before Blood sugar levels are ↑ after 24-28
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