Diabetes Care
1
1 ´ Alejandra Duran,1,2 Sof´ıa Saenz, 3 ´ ´ 1,2 Mar´ıa J. Torrejon, Elena Bordiu, 1 Laura del Valle, Mercedes Galindo,1 Noelia Perez,4 Miguel A. Herraiz,2,4 Nuria Izquierdo,4 Miguel A. Rubio,1,2 Isabelle Runkle,1,2 Natalia P´erez-Ferre,1 Idalia Cusihuallpa,1 Sandra Jim´enez,1 Nuria Garc´ıa de la Torre,1 1 ´ Mar´ıa D. Fernandez, Carmen Monta~ nez,1 1 Cristina Familiar, and Alfonso L. Calle-Pascual1,2
DOI: 10.2337/dc14-0179
OBJECTIVE
The use of the new International Association of Diabetes and Pregnancy Study Group criteria (IADPSGC) for the diagnosis of gestational diabetes mellitus (GDM) results in an increased prevalence of GDM. Whether their introduction improves pregnancy outcomes has yet to be established. We sought to evaluate the costeffectiveness of one-step IADPSGC for screening and diagnosis of GDM compared with traditional two-step Carpenter/Coustan (CC) criteria. RESEARCH DESIGN AND METHODS
GDM risk factors and pregnancy and newborn outcomes were prospectively assessed in 1,750 pregnant women from April 2011 to March 2012 using CC and in 1,526 pregnant women from April 2012 to March 2013 using IADPSGC between 24 and 28 weeks of gestation. Both groups received the same treatment and follow-up regimes. RESULTS
The use of IADPSGC resulted in an important increase in GDM rate (35.5% vs. 10.6%) and an improvement in pregnancy outcomes, with a decrease in the rate of gestational hypertension (4.1–3.5%: 214.6%, P < 0.021), prematurity (6.4–5.7%: 210.9%, P < 0.039), cesarean section (25.4–19.7%: 223.9%, P < 0.002), small for gestational age (7.7–7.1%: 26.5%, P < 0.042), large for gestational age (4.6–3.7%: 220%, P < 0.004), Apgar 1-min score
1
1 ´ Alejandra Duran,1,2 Sof´ıa Saenz, 3 ´ ´ 1,2 Mar´ıa J. Torrejon, Elena Bordiu, 1 Laura del Valle, Mercedes Galindo,1 Noelia Perez,4 Miguel A. Herraiz,2,4 Nuria Izquierdo,4 Miguel A. Rubio,1,2 Isabelle Runkle,1,2 Natalia P´erez-Ferre,1 Idalia Cusihuallpa,1 Sandra Jim´enez,1 Nuria Garc´ıa de la Torre,1 1 ´ Mar´ıa D. Fernandez, Carmen Monta~ nez,1 1 Cristina Familiar, and Alfonso L. Calle-Pascual1,2
DOI: 10.2337/dc14-0179
OBJECTIVE
The use of the new International Association of Diabetes and Pregnancy Study Group criteria (IADPSGC) for the diagnosis of gestational diabetes mellitus (GDM) results in an increased prevalence of GDM. Whether their introduction improves pregnancy outcomes has yet to be established. We sought to evaluate the costeffectiveness of one-step IADPSGC for screening and diagnosis of GDM compared with traditional two-step Carpenter/Coustan (CC) criteria. RESEARCH DESIGN AND METHODS
GDM risk factors and pregnancy and newborn outcomes were prospectively assessed in 1,750 pregnant women from April 2011 to March 2012 using CC and in 1,526 pregnant women from April 2012 to March 2013 using IADPSGC between 24 and 28 weeks of gestation. Both groups received the same treatment and follow-up regimes. RESULTS
The use of IADPSGC resulted in an important increase in GDM rate (35.5% vs. 10.6%) and an improvement in pregnancy outcomes, with a decrease in the rate of gestational hypertension (4.1–3.5%: 214.6%, P < 0.021), prematurity (6.4–5.7%: 210.9%, P < 0.039), cesarean section (25.4–19.7%: 223.9%, P < 0.002), small for gestational age (7.7–7.1%: 26.5%, P < 0.042), large for gestational age (4.6–3.7%: 220%, P < 0.004), Apgar 1-min score
