Figure 1.
Diagnostic criteria for GDM in OGTT included in selected recommendations_
| WHO 1999 | GDM | Criteria for DM | Fasting ≥ 126 mg/dl (7.0 mmol/l) |
| or | |||
| 2-h post glucose ≥ 200 mg/dl (11.1 mmol/l) | |||
| Criteria for IGT | Fasting < 126 mg/dl (7.0 mmol/l) | ||
| and | |||
| 2-h post glucose ≥ 140 mg/dl (7.8 mmol/l) | |||
| PGS 2011 | GDM | One of the following: | Fasting ≥ 100 mg/dl (5.6 mmol/l) |
| 1-h ≥180 mg/dl (10.0 mmol/l) | |||
| 2-h ≥ 140 mg/dl (7.8 mmol/l) | |||
| WHO 2013 PGS 2015 | GDM | One of the following: | Fasting 92 – 125 mg/dl (5.1 mmol/l) |
| 1-h ≥ 180 mg/dl (10.0 mmol/l) | |||
| 2-h ≥ 153 mg/dl (8.5 mmol/l) |
The comparison of course of pregnancy, neonatal and maternal outcomes in both groups – 1st group with undetected hyperglycaemia, 2nd group with GDM during pregnancy and adequate therapeutic management_
| 1st group (n=40) | 2nd group (n=40) | P value | ||
|---|---|---|---|---|
| Characteristics of pregnant patients: | ||||
| Age in years – mean (SD) | 32.8 (5.14) | 32.0 (5.31) | 0.536 | |
| BMI (kg/m^2) – mean (SD) | 31.8 (5.30) | 31.4 (5.50) | 0.743 | |
| Primigravida – n (%) | 14 (35) | 23 (57.5) | 0.044 | |
| Multigravida – n (%) | 26 (65) | 17 (42.5) | ||
| Maternal outcomes: | ||||
| Hypertensive disorders during pregnancy - hypertension, preeclampsia, HELLP (%) | 7 (17.5) | 7 (17.5) | 1.00 | |
| Time of delivery – weeks of gestation | 39+2 | 39+1 | 0.787 | |
| The route of delivery: | Elective caesarean section | 5 | 12 | 0.121 |
| Emergency caesarean section | 12 | 14 | ||
| Vaginal delivery | 22 | 14 | ||
| Instrumental delivery (forceps) | 1 | 0 | ||
| Neonatal outcomes: | ||||
| Neonatal weight | SGA – n (%) | 4 (10) | 5 (12.5) | 0.039 |
| AGA – n (%) | 30 (75) | 35 (87.5) | ||
| LGA – n (%) | 6 (15) | 0 (0) | ||
| Hyperbilirubinaemia – n (%) | 9 (22.5) | 1 (2.5) | 0.007 | |
| Hypoglycaemia <40 mg/dl – n (%) | 3 (7.5) | 5 (12.5) | 0.456 | |
The compliance with recommended diagnostics in postpartum period in patients from both groups_
| 1st group (n=28) | 2nd group (n=28) | P value | |
|---|---|---|---|
| Did not perform the OGTT (%) | 21 (75) | 10 (36) | 0.003 |
| Performed the OGTT (%) | 7 (25) | 18 (64) |