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Options for screening for gestational diabetes mellitus during the SARS‐CoV‐2 pandemic

Year: 2020

Type: article

Abstract: The balance between avoiding severe acute respiratory syndrome coronavirus-2 contagion and reducing wider clinical risk is unclear for gestational diabetes mellitus (GDM) testing. Recent recommendations promote diagnostic approaches that limit collection but increase undiagnosed GDM, which potentially increases adverse pregnancy outcome risks. The most sensitive approach to detecting GDM at 24-28 weeks beyond the two-hour oral glucose tolerance test (OGTT) is a one-hour OGTT (88% sensitivity). Less sensitive approaches use fasting glucose alone (≥5.1 mmol/L: misses 44-54% GDM) or asking ~20% of women for a second visit (fasting glucose 4.7-5.0 mmol/L (62-72% sensitive)). Choices should emphasise local and patient decision-making.

Source: Australian and New Zealand Journal of Obstetrics and Gynaecology

DOI: 10.1111/ajo.13224

Authors: David Simmons, Victoria L. Rudland, Vincent Wong, Jeff Flack, Adam Mackie, Glynis P. Ross, Suzette Coat, Raiyomand Dalal, Bill M. Hague, Ngai Wah Cheung

Institutions: Camden and Campbelltown Hospitals, Western Sydney University, Westmead Hospital, Liverpool Hospital, Royal Prince Alfred Hospital, Women's and Children's Hospital, The University of Adelaide

Language: English

Topic: Gestational Diabetes Research and Management

Subfield: Obstetrics and Gynecology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: bronze

OpenAlex ID: W3047649906

FWCI: 1.488

Cites: 23

Cited by: 16

Related to: 10