Matching diagnosis and management of diabetes in pregnancy to local priorities and resources: An international approach

H. David McIntyre, Jeremy J.N. Oats, Willibald Zeck, V. Seshiah, Moshe Hod

Research output: Contribution to journalArticlepeer-review

Abstract

The International Association of the Diabetes and Pregnancy Study Groups' (IADPSG) criteria for the diagnosis and classification of hyperglycemia in pregnancy are described and application of these in differing healthcare contexts on a worldwide basis is reported. Existing local protocols and known epidemiologic and clinical data regarding the detection and management of overt diabetes and gestational diabetes in the context of human pregnancy are considered. Although the IADPSG criteria are uniform, their introduction poses a variety of practical and technical challenges in differing healthcare contexts, both between and within countries. Knowledge of local factors will be vital in the implementation of the new guidelines and will require extensive liaison with local clinical and health policy groups. Resource availability will be critical in determining the type of treatment available in this context. The IADPSG criteria offer an important opportunity for a uniform approach to diabetes in pregnancy. Scaled implementation of these criteria adapted to a variety of local healthcare contexts should improve both research endeavors and patient care.

Original languageEnglish
Pages (from-to)S26-S29
JournalInternational Journal of Gynecology and Obstetrics
Volume115
Issue numberSUPPL. 1
DOIs
StatePublished - Nov 2011
Externally publishedYes

Keywords

  • Diagnosis
  • Gestational diabetes
  • Hyperglycemia
  • IADPSG
  • Low-income countries
  • Pregnancy

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