[Screening for diabetes during pregnancy (author's transl)]

Area of Science:

• Obstetrics and Gynecology
• Endocrinology
• Maternal-Fetal Medicine

Background:

• Maternal glucose tolerance testing is a standard procedure during pregnancy.
• Assessing diabetic risk is the initial step in managing pregnant patients.
• Early screening is crucial for pregnant individuals with risk factors for diabetes.

Purpose of the Study:

• To detail the recommended screening protocol for gestational diabetes.
• To emphasize the importance of universal screening in all pregnant women.
• To establish the sequence of diagnostic tests for maternal hyperglycemia.

Main Methods:

• Initial screening involves provoked hyperglycemia via the intravenous route.
• The glucose assimilation coefficient (K value) determines the need for follow-up testing.
• Oral glucose tolerance testing is utilized for subsequent assessments.

Main Results:

• Intravenous glucose challenge serves as the primary screening method.
• The glucose assimilation coefficient guides the decision for oral glucose tolerance testing.
• Effective screening necessitates application to all pregnant women.

Conclusions:

• A systematic approach to screening for maternal diabetes is essential.
• The described protocol ensures timely identification and management of glucose intolerance during pregnancy.
• Universal screening enhances the effectiveness of gestational diabetes detection.