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Gestational diabetes mellitus--guidelines.

V Seshiah, A K Das, V Balaji

    The Journal of the Association of Physicians of India
    |September 1, 2006
    PubMed
    Summary
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    Screening all Indian pregnant women for gestational diabetes mellitus (GDM) is crucial. The Diabetes In Pregnancy Study group India (DIPSI) recommends a simple 75g oral glucose test for early GDM diagnosis and management.

    Area of Science:

    • Endocrinology
    • Obstetrics
    • Public Health

    Background:

    • Gestational diabetes mellitus (GDM) presents a high prevalence in India.
    • Effective screening and management are vital for maternal and fetal health.

    Purpose of the Study:

    • To report practice guidelines for GDM management in the Indian context.
    • To emphasize the importance of early screening and diagnosis for all pregnant women in India.

    Main Methods:

    • Recommends universal screening for GDM in pregnant Indian women.
    • Utilizes a one-step 75g oral glucose load test at 24-28 weeks gestation.
    • Applies American Diabetes Association (ADA) diagnostic criteria.

    Main Results:

    • The DIPSI screening method is simple, economical, and feasible for the Indian environment.

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  • A multidisciplinary team approach is ideal for managing GDM.
  • Intensive monitoring, diet, and insulin are foundational for GDM management.

    • Conclusions:

    • Maintaining normoglycemia is prudent in pregnancies with GDM.
    • Comprehensive care by a specialized team improves maternal and fetal outcomes.
    • Early intervention can contribute to the primary prevention of obesity and diabetes in offspring.