Gestational Diabetes Mellitus
نویسنده
چکیده
DIAGNOSTIC CRITERIA The oral glucose tolerance test (OGTT) most commonly used to diagnose GDM in the United States is the 3-hour, 100-g OGTT. According to diagnostic criteria recommended by the American Diabetes Association (ADA), GDM is diagnosed if two or more plasma glucose levels meet or exceed the following thresholds: fasting glucose concentration of 95 mg/dl, 1-hour glucose concentration of 180 mg/dl, 2-hour glucose concentration of 155 mg/dl, or 3-hour glucose concentration of 140 mg/dl. These values are lower than the thresholds recommended by the National Diabetes Data Group and are based on the Carpenter and Coustan modification.5 The ADA recommendations also include the use of a 2-hour 75-g OGTT with the same glucose thresholds listed for fasting, 1-hour, and 2-hour values.1,2 The World Health Organization (WHO) diagnostic criteria, which are used in many countries outside of North America, are based on a 2-hour 75-g OGTT. GDM is diagnosed by WHO criteria if either the fasting glucose is > 126 mg/dl or the 2-hour glucose is > 140 mg/dl. Table 1 summa-
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