title: [Perinatal outcomes of patients with gestational diabetes diagnosed by three different methods].
abstract: BACKGROUND
  Gestational diabetes is one of the most common diseases during pregnancy. Despite this situation, there is still no consensus on methods for screening and diagnosis of this disease.
  
  
  OBJECTIVE
  To assess perinatal outcomes of patients with gestational diabetes diagnosed using three different methods.
  
  
  METHODS
  Clinical observational, longitudinal, randomized trial at the National Institute of Perinatology Isidro Espinosa de los Reyes. We included all patients admitted to the Institute for a period of three months without pregestational diabetes. Patients were screened for gestational diabetes with an oral load of 50 g of glucose. Patients with a positive screen were randomized by a computer program that randomly chose patients and made a curve according to the criteria of the American Diabetes Association 75 g or 100 g and another group with 75 g according to the criteria of the World Health Organization. Patients with gestational diabetes were followed throughout pregnancy until its reclassification in the puerperium.
  
  
  RESULTS
  Screening was performed in 863 patients and 87 were diagnosed with gestational diabetes. Perinatal outcomes were similar in patients with gestational diabetes diagnosed using different methods, but there was a higher frequency of pregnancy-induced hypertension in patients diagnosed with the curves of the American Diabetes Association 75 and 100 g compared with the curve of the World Health Organization.
  
  
  CONCLUSIONS
  The American Diabetes Association diagnostic method as the World Health Organization are acceptable forms to diagnose gestational diabetes.
authors.affiliation: Instituto Nacional de Perinatología Isidro Espinosa de los Reyes, México, DF. dugof1@hotmail.com
authors.forename: Omar Felipe Due
authors.initials: OF
authors.lastname: Dueñas-García
authors.forename: Aurora
authors.initials: A
authors.lastname: Ramírez-Torres
authors.forename: Maricela
authors.initials: M
authors.lastname: Diaz-Sotomayor
authors.forename: Hugo
authors.initials: H
authors.lastname: Rico-Olvera
mesh_terms: D001786:Blood Glucose / Q000032:analysis; D000013:Congenital Abnormalities / Q000453:epidemiology; D016640:Diabetes, Gestational / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy; D005260:Female; D005313:Fetal Death / Q000453:epidemiology; D005320:Fetal Macrosomia / Q000453:epidemiology; D005500:Follow-Up Studies; D005951:Glucose Tolerance Test / Q000592:standards* / Q000706:statistics & numerical data; D006801:Humans; D046110:Hypertension, Pregnancy-Induced / Q000453:epidemiology; D008403:Mass Screening; D008800:Mexico; D007752:Obstetric Labor, Premature / Q000453:epidemiology; D011247:Pregnancy; D011256:Pregnancy Outcome; D011272:Pregnancy, Multiple; D011446:Prospective Studies; D050497:Stillbirth / Q000453:epidemiology; D014481:United States; D014837:Voluntary Health Agencies; D014944:World Health Organization
chemical_list: D001786:Blood Glucose