Recommendations: Detection and Diagnosis of GDM (1)
Recommendations for the detection and diagnosis of gestational diabetes mellitus (GDM) are summarized on two slides; this slide (Slide 1 of 2) includes: Screen for undiagnosed type 2 diabetes at the first prenatal visit in those with risk factors, using standard diagnostic criteria (B) In pregnant women not previously known to have diabetes, screen for GDM at 24–28 weeks’ gestation, using a 75-g OGTT and the diagnostic cut points in Table 6 (see Slide 19) (B) As the ongoing epidemic of obesity and diabetes has led to more type 2 diabetes in women of childbearing age, the number of pregnant women with undiagnosed type 2 diabetes has increased1 Because of this, it is reasonable to screen women with risk factors for type 2 diabetes (see Table 4 , Slides 14 and 15,) for diabetes at their initial prenatal visit, using standard diagnostic criteria (see Table 2, Slides 6-10); women with diabetes found at this visit should receive a diagnosis of overt, not gestational, diabetes217References Lawrence JM, Contreras R, Chen W, Sacks DA. Trends in the prevalence of preexisting diabetes and gestational diabetes mellitus among a racially/ethnically diverse population of pregnant women, 1999-2005. Diabetes Care 2008;31:899-904. American Diabetes Association. Standards of medical care in diabetes—2013. Diabetes Care 2013;36(suppl 1):S15.