Single check process to detect gestational diabetes established


The test was approved by the Ministry of Health of the Union of the World Health Organization

The Diabetes in Pregnancy Study Group India (DIPSI), made up of senior physicians, has demonstrated the effectiveness of the “single test” in diagnosing gestational diabetes (GDM).

It has been found that GDM can be diagnosed when the two hour plasma glucose is greater than or equal to 140 milligrams per deciliter (2 hour PG ≥ 140 mg / dL), with 75 g of oral glucose administered to pregnant women regardless of whether or not they are fasted or not Last meal time.

The DIPSI guidance document was released by Jithendra Singh, Union Minister of State in the Prime Minister’s Office, at the Diabetes in Pregnancy Summit on Wednesday. The summit was jointly organized by the Asian Research and Training Institute for Skills Transfer (ARTIST for Her) and the Integrated Council for Health and Wellbeing (IHW).

According to the DIPSI guidance document entitled Diagnosis and Management of GDM-2021, all diagnostic criteria and procedures should be simple, feasible, economical and evidence-based.

The “single test procedure” has been approved by the Union Ministry of Health, the World Health Organization, the International Federation of Gynecologists and Obstetricians (FIGO) and the International Diabetes Federation (IDF), the DIPSI document states.

“Diagnosing GDM with a“ single test ”recommended by DIPSI and approved by the Union Ministry of Health is an affordable test to meet the needs of all walks of life. However, some diabetology groups were not convinced. Now the DIPSI document makes it clear that the acceptance of the individual test is no longer controversial, ”said V. Seshiah, founding patron of DIPSI.

Hema Divakar, CEO of ARTIST for Her and past president of the Federation of Obstetric and Gynecological Societies of India (FOGSI), listed the benefits of the test and said a pregnant woman does not need to fast for the test. “This test is the least likely to interfere with the routine activities of a pregnant woman. It serves as both a screening and a diagnostic procedure. Diagnosing GDM with this test and subsequent treatment is worthwhile with a reduced rate of macrosomia, fewer emergency caesarean sections and severe perinatal morbidity, ”she said.

The Union Ministry ordered the screening of all pregnant women for GDM as part of a routine pregnancy package in accordance with national guidelines in 2014. The ministry then revised the guidelines for the diagnosis and treatment of GDM in 2018.

“Nevertheless, the implementation of diagnostic procedures was unsatisfactory. One of the reasons for this sluggishness could be the incongruent opinion on diagnosing GDM, ”she added.

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