Descriptive study to detect rate of gestational diabetes mellitus by DIPSI and IADPSG criteria

Dipsi, Iadpsg Criteria
2018 MedPulse-International Journal of Gynaecology. March   unpublished
Diabetes is a large global health problem of 21st century, and an important lifestyle disease. India ranks 2nd in global prevalence of diabetes mellitus, with 69.2 million of the adults having diabetes, and is fast emerging as the diabetic capital of the world. Hence diabetes detected during pregnancy i.e. Gestational Diabetes (GDM) is also very high in India. The prevalence of GDM was found to be 16.55% according to the studies done at various centers across India. Early detection of diabetes
more » ... n pregnancy is of paramount importance to reduce foetal and maternal outcome. To find which method is appropriate to detect GDM is the basis of our study. Aim and Objectives: 1) The detection rate of Gestational Diabetes Mellitus in pregnant women at 24 to 28 weeks period of gestation using Diabetes in Pregnancy Study Group of India criteria. 2) The detection rate of Gestational Diabetes Mellitus using International Association of Diabetes in Pregnancy Study Group criteria in pregnant women at 24 to 28 weeks period of gestation. 3) To compare the detection rate of GDM by these two methods. Material and Methods: Pregnant women with live pregnancy, with period of gestation between 24 to 28 weeks meeting the inclusion and exclusion criteria in the Department of Obstetrics and Gynaecology, Mahatma Gandhi Medical College, Jaipur Rajasthan for a period of 1 year, were recruited. Both DIPSI and IADPSG criteria were applied with minimum of one week of interval on each patient and results of both were compared. Results: All patients were from rural area belonging to lower and lower middle class socioeconomic status. Out of 50 patients, Mean age was 23.86 ± 3.30 years. BMI mean was 23.05 ± 3.6 Kg/m2. 12.5 % of patients with normal BMI were diagnosed with GDM and 17.6% of underweight, 22.5% of overweight and 22.2% of the obese women had GDM. 41.6% were primigravida and 42.4% second gravida and 16% 3rd gravida and above. 9.6 % of the primigravidas, 16.0 % of 2nd gravida and 25.0% of 3 rd gravida and above, were diagnosed with GDM by DIPSI criteria. Detection rate of GDM based on DIPSI and IADPSG criteria were 14.8% and 13.6% respectively. Study showed the Sensitivity and Specificity of DIPSI criteria was 79.4% and 95.4% with diagnostic accuracy of 93.2%, IADPSG taken as gold standard. Conclusion: Screening antenatal women for GDM with DIPSI is found to be simple, easy to perform, well accepted by the patient and is convenient. When results were compared to gold standard IADPSG criteria, DIPSI was found to be having high specificity and acceptable sensitivity. Kasper D, Fauci A, Hauser S, Longo D, Jameson J, Loscalzo J. Harrinson's Manual of Medicine. 2016. 46-48 p.