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New guidelines for diagnosis of gestational diabetes: Pathology-based impact assessment

Nwose, Ezekiel U., Richards, Ross S., Bwititi, PHillip T. and Butkowski, Eugene G. (2013). New guidelines for diagnosis of gestational diabetes: Pathology-based impact assessment. North American Journal of Medical Sciences,5(3):191-194.

Document type: Journal Article
Citation counts: Scopus Citation Count Cited 2 times in Scopus Article | Citations

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IRMA ID 83950043xPUB56
Title New guidelines for diagnosis of gestational diabetes: Pathology-based impact assessment
Author Nwose, Ezekiel U.
Richards, Ross S.
Bwititi, PHillip T.
Butkowski, Eugene G.
Journal Name North American Journal of Medical Sciences
Publication Date 2013
Volume Number 5
Issue Number 3
ISSN 2250-1541   (check CDU catalogue open catalogue search in new window)
eISSN New Guidelines for Diagnosis of Gestational Diabetes: Pathology-Based Impact Assessment
Scopus ID 2-s2.0-84875309164
Start Page 191
End Page 194
Total Pages 4
Place of Publication India
Publisher Medknow Publications
HERDC Category C1 - Journal Article (DIISR)
Abstract Background:
A recent study indicated an average of 19.5% abnormal oral glucose tolerance in antenatal clients per year. Aim: The purpose of this study was to determine the impact on gestational diabetes cases due to new guidelines for diagnosis and classification of hyperglycaemia in pregnancy.

Materials and Methods:
This study reviewed the archived clinical pathology data on oral glucose tolerance tests performed between January 1999 and December 2008 on antenatal clients ( N = 615). The cases were reviewed to determine changes if any in percentage of gestational diabetes due to new guidelines.

Results:
Over the 10 years period, a yearly average of additional 10.8% antenatal cases suggestive of gestational diabetes was observed due to the new recommended thresholds. Further, the average yearly incidence would have increased from 8.8 cases to 16.2 cases, which translates to almost 46% increase in the prospective numbers of gestational diabetes.

Conclusions:
This report presents the extent of how the new recommended guidelines for diagnosis and classification of hyperglycaemia in pregnancy could increase the prevalence of gestational diabetes. It also provides pathology-based evidence for the epidemiology of gestational diabetes mellitus and allows for planning the costs that would be attendant to the full implementation of the new guidelines.
Keywords Gestational diabetes
Impact evaluation
New guidelines
Oral lucose tolerence test
Pathology-based evidence
DOI http://dx.doi.org/10.4103/1947-2714.109184   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)


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