title: Evaluation of the prevalence of gestational diabetes mellitus in North Indians using the International Association of Diabetes and Pregnancy Study groups (IADPSG) criteria.
abstract: OBJECTIVE
  Currently, there is controversy regarding the diagnosis of gestational diabetes mellitus (GDM) as per the newer International Association of Diabetes and Pregnancy Study Groups (IADPSG) criteria. We studied the prevalence and associations of GDM in North Indians, diagnosed by the IADPSG criteria.
  
  
  METHODS
  We conducted a cross-sectional study on 332 pregnant women, predominantly belonging to lower and middle socioeconomic strata. The women were screened for GDM between 24 weeks and 28 weeks of gestation by 75g oral glucose tolerance test (OGTT) and GDM diagnosed by the IADPSG criteria.
  
  
  RESULTS
  The prevalence of GDM was 41.9% [95% Confidence interval (CI) 36.6-47.2%]. Amongst the women diagnosed to have GDM, 91.4% had abnormal fasting plasma glucose (FPG), while 1-h and 2-h post-glucose (PG) levels were abnormal in 18.7% and 17.3% of women, respectively. No maternal factors were significantly associated with GDM. Birth weight of the neonates was similar in women with GDM as compared to those with normal glucose tolerance. In the entire group, fasting glucose levels were associated with the weight of the patient while 1-h PG levels were associated with weight, height, socioeconomic score, and parity.
  
  
  CONCLUSIONS
  There is a very high prevalence rate of GDM using the IADPSG criteria in North Indian women of low and middle socioeconomic strata. Further studies are needed to assess the utility of applying these criteria in settings with limited resources.
authors.forename: V
authors.initials: V
authors.lastname: Gopalakrishnan
authors.forename: R
authors.initials: R
authors.lastname: Singh
authors.forename: Y
authors.initials: Y
authors.lastname: Pradeep
authors.forename: D
authors.initials: D
authors.lastname: Kapoor
authors.forename: A K
authors.initials: AK
authors.lastname: Rani
authors.forename: S
authors.initials: S
authors.lastname: Pradhan
authors.forename: E
authors.initials: E
authors.lastname: Bhatia
authors.affiliation: Department of Endocrinology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
authors.forename: S B
authors.initials: SB
authors.lastname: Yadav
mesh_terms: D000328:Adult; D001786:Blood Glucose / Q000032:analysis; D003430:Cross-Sectional Studies; D016640:Diabetes, Gestational / Q000097:blood / Q000175:diagnosis* / Q000208:ethnology*; D005260:Female; D005951:Glucose Tolerance Test / Q000379:methods*; D019983:Guideline Adherence; D017408:Guidelines as Topic; D006801:Humans; D007194:India / Q000453:epidemiology; D011247:Pregnancy; D015995:Prevalence; D011446:Prospective Studies; D012307:Risk Factors; D012959:Socioeconomic Factors; D014505:Urban Population; D055815:Young Adult
chemical_list: D001786:Blood Glucose