Problems and solutions for the diagnosis of gestational diabetes mellitus in non metropolitan areas in India

Authors

  • V. Seshiah S. R. C. Diabetes Care Center, Erode, Tamil Nadu, India
  • N. Bhavatharini S. R. C. Diabetes Care Center, Erode, Tamil Nadu, India
  • Sanjeev V. K. S. R. C. Diabetes Care Center, Erode, Tamil Nadu, India
  • Changanidi A. R. A. S. R. C. Diabetes Care Center, Erode, Tamil Nadu, India
  • R. Aruyerchelvan S. R. C. Diabetes Care Center, Erode, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20201482

Keywords:

Gestational diabetes mellitus, Hyperglycemia, Pregnancy, Primary health care

Abstract

Management of gestational diabetes mellitus and hyperglycemia in pregnancy is challenging in developing country like India. There are several logistic, socioeconomic and cultural issues faced by the care providers and the patients alike. In order to tackle these challenges, Diabetes in Pregnancy Study Group of India (DIPSI) recommendations consisting of a single glucose challenge test is ideal to evaluate the glucose intolerance and early initiation of doctors’ prescription. This review article explores the practical challenges associated with managing gestational diabetes mellitus and recommendations to overcome these challenges in the public health system.

References

Hod M, Kapur A, Sacks DA, Hader E, Agarwal M, Di Renzo GC, et al. The International Federation of Gynaecology and Obstetrics (FIGO) Initiative on gestational diabetes mellitus: A pragmatic guide for diagnosis, management, and care. Intl J Gynaecol Obstet. 2015;131(3):173-221.

Guariguata L, Linnenkamp U, Beagley J, Whiting DR, Cho NH. Global estimates of the prevalence of hyperglycaemia in pregnancy. Diabetes Res Clin Pract. 2014;103(2):176-85.

International Diabetes Federation IDF Diabetes Atlas. 8th edition; 2017.

World Health Organization. Diagnostic criteria and classification of hyperglycaemia first detected in pregnancy. World Health Organization; 2013.

Fetita LS, Sobngwi E, Serradas P, Calvo F, Gautier JF. Consequences of fetal exposure to maternal diabetes in offspring. J Clin Endocrinol Metab. 2006;91(10):3718-24.

Tripathi R, Verma D, Gupta VK, Tyagi S, Kalaivani M, Ramji S, et al. Evaluation of 75 g glucose load in non fasting state [Diabetes in Pregnancy Study Group of India (DIPSI) criteria] as a diagnostic test for gestational diabetes mellitus. Indian J Med Res. 2017;145(2):209-14.

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Published

2020-03-26

How to Cite

Seshiah, V., Bhavatharini, N., V. K., S., A. R. A., C., & Aruyerchelvan, R. (2020). Problems and solutions for the diagnosis of gestational diabetes mellitus in non metropolitan areas in India. International Journal Of Community Medicine And Public Health, 7(4), 1607–1609. https://doi.org/10.18203/2394-6040.ijcmph20201482

Issue

Section

Review Articles