Prevalence of Gestational Diabetes Mellitus Using Iadpsg and Dipsi Criteria - A Cross Sectional Study

Abstract

Background and objective Universal screening and care of women with GDM is of paramount public health priority in high risk population for GDM and diabetes. This study was aimed to find the concordance between the present practice of diagnosing GDM by DIPSI criterion of 2-h PG ≥ 140 mg/dL and IADPSG recommendation. Methodology This cross sectional study was done at Antenatal Clinic, Department of Obstetrics and Gynaecology, KLES Dr Prabhakar Kore Hospital and Medical Research Center, Belgaum from January 2013 to December 2013. A total of 225 pregnant women between 24 to 28 weeks gestations were studied. Diagnosis and the prevalence of GDM were assessed by applying both DIPSI and IADPSG criteria. Results In the present study most of the women (58.11%) were age between 22 to 25 years and the mean age was 23.78±3.38 years. Most of the women reported gravida two (46.22%) The gestational age was 26 weeks in 26.67% of the women and mean gestational age was 26.25±2.70 weeks. Majority of the women (74.22%) had body mass index between 19.8 to 25.99 Kg/m2 and mean body mass index was 22.83±3.75 kg/m2. The fasting, one hour and two hours plasma glucose levels were ≥92, ≥180 and ≥153 mg/dL in 9.33%, 8.99% and 7.56% of the women respectively and at same intervals the mean fasting plasma glucose levels were 80.35±17.37, 122.90±31.96 and 107.76±29.51 mg/dL respectively. Conclusion Based on the IADPSG criteria, the prevalence of GDM was 19.11% and by applying DIPSI criteria that is ≥140 mg/dL plasma glucose levels at two hours, prevalence of GDM was 16.89%. The difference in diagnostic capability between IADPSG and DIPSI was found to be 2.8% and the kappa statistics showed good strength of agreement between the two tests (p>0.302; Kappa= 0.774). Hence it may be concluded that, the diagnosis GDM based on DIPSI is as effective as IADPSG criteria.