title: Strategies for implementing the WHO diagnostic criteria and classification of hyperglycaemia first detected in pregnancy.
abstract: The World Health Organization (WHO) has recently released updated recommendations on Diagnostic Criteria and Classification of Hyperglycaemia First Detected in Pregnancy which are likely to increase the prevalence of gestational diabetes mellitus (GDM). Any increase in the number of women with GDM has implications for health services since these women will require treatment and regular surveillance during the pregnancy. Some health services throughout the world may have difficulty meeting these demands since country resources for addressing the diabetes burden are finite and resource allocation must be prioritised by balancing the need to improve care of people with diabetes and finding those with undiagnosed diabetes, including GDM. Consequently each health service will need to assess their burden of hyperglycaemia in pregnancy and decide if and how it will implement programmes to test for and treat such women. This paper discusses some considerations and options to assist countries, health services and health professionals in these deliberations.
authors.affiliation: Boden Institute of Obesity, Nutrition and Exercise, The University of Sydney, Sydney, Australia. Electronic address: stephen.colagiuri@sydney.edu.au.
authors.forename: Stephen
authors.initials: S
authors.lastname: Colagiuri
authors.affiliation: Post Graduate Program in Epidemiology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
authors.forename: Maicon
authors.initials: M
authors.lastname: Falavigna
authors.affiliation: Faculty of Medicine, UAE University, Al Ain, United Arab Emirates.
authors.forename: Mukesh M
authors.initials: MM
authors.lastname: Agarwal
authors.affiliation: Service d'Obstétrique Maternité HUG, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
authors.forename: Michel
authors.initials: M
authors.lastname: Boulvain
authors.affiliation: Department Obstetrics & Gynaecology, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa.
authors.forename: Edward
authors.initials: E
authors.lastname: Coetzee
authors.affiliation: Helen Schneider Hospital for Women, Rabin Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, Petah-Tiqva, Tel-Aviv, Israel.
authors.forename: Moshe
authors.initials: M
authors.lastname: Hod
authors.affiliation: Department of Medicine, McGill University, Montreal, Canada; Department of Obstetrics and Gynaecology, McGill University, Montreal, Canada.
authors.forename: Sara J
authors.initials: SJ
authors.lastname: Meltzer
authors.affiliation: Northwestern University, Feinberg School of Medicine, Chicago, United States.
authors.forename: Boyd
authors.initials: B
authors.lastname: Metzger
authors.affiliation: Tokyo Women's Medical University, Diabetes Center, Ebina General Hospital, Tokyo, Japan.
authors.forename: Yasue
authors.initials: Y
authors.lastname: Omori
authors.affiliation: Rīga East Clinical University Hospital, Rīga Stradiņš University, Rīga, Latvia.
authors.forename: Ingvars
authors.initials: I
authors.lastname: Rasa
authors.affiliation: Post Graduate Program in Epidemiology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
authors.forename: Maria Inês
authors.initials: MI
authors.lastname: Schmidt
authors.affiliation: Diabetes Research Institute, Dr Balaji Diabetes Care Centre, Chennai, India.
authors.forename: Veerasamy
authors.initials: V
authors.lastname: Seshiah
authors.affiliation: Institute of Metabolic Science, Cambridge University Hospitals, National Health Services Foundation Trust, Cambridge, United Kingdom.
authors.forename: David
authors.initials: D
authors.lastname: Simmons
authors.affiliation: Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Cameroon; Institute of Health and Society, Newcastle University, Newcastle, United Kingdom.
authors.forename: Eugene
authors.initials: E
authors.lastname: Sobngwi
authors.affiliation: Department of Obstetrics, São Paulo Federal University, São Paulo, Brazil.
authors.forename: Maria Regina
authors.initials: MR
authors.lastname: Torloni
authors.affiliation: Peking University First Hospital, Beijing, China.
authors.forename: Hui-xia
authors.initials: HX
authors.lastname: Yang
mesh_terms: D016640:Diabetes, Gestational / Q000175:diagnosis*; D005260:Female; D006284:Health Plan Implementation; D006801:Humans; D006943:Hyperglycemia / Q000145:classification* / Q000175:diagnosis*; D011247:Pregnancy; D011254:Pregnancy in Diabetics / Q000175:diagnosis*; D014944:World Health Organization
keywords: Diagnostic criteria; Hyperglycaemia in pregnancy; Implementation