Diagnostic Criteria and Classification of Hyperglycaemia First Detected in Pregnancy

Mukesh M. Agarwal, Michel Boulvain, Edward Coetzee, Stephen Colagiuri, Maicon Falavigna, Moshe Hod, Sara Meltzer, Boyd Metzger, Yasue Omori, Ingvars Rasa, Maria Inês Schmidt, Veerasamy Seshiah, David Simmons, Eugene Sobngwi, Maria Regina Torloni, Huixia Yang

Research output: Book/Research ReportResearch report

Abstract

The high prevalence of diabetes globally and its increasing frequency in women of gestational age have generated new research data on the relationship between glycaemia and pregnancy outcomes. The diagnostic criteria for hyperglycaemia in pregnancy recommended by the World Health Organization (WHO) in 1999 were not evidence-based and needed to be updated in the light of previously unavailable data. The update follows the WHO procedures for guidelines development. Systematic reviews were conducted for key questions, and the Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology was applied to assess the quality of the evidence and to determine the strength of the recommendation on the diagnostic cut-off values for gestational diabetes. Where evidence was absent (diagnosis of diabetes in pregnancy) or GRADE was not deemed suitable (classification), recommendations were based on consensus.
Original languageEnglish
Place of PublicationSwitzerland
PublisherWorld Health Organisation
Commissioning bodyDiabetes UK
Number of pages62
Publication statusPublished - 2013

Bibliographical note

© World Health Organization 2013.

Keywords

  • diabetes
  • hyperglycaemia
  • pregnancy

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