Options for screening for gestational diabetes mellitus during the SARS-CoV-2 pandemic

David Simmons; Victoria L. Rudland; Vincent Wong; Jeff Flack; Adam Mackie; Glynis P. Ross; Suzette Coat; Raiyomand Dalal; Bill M. Hague; Ngai Wah Cheung

doi:10.1111/ajo.13224

Options for screening for gestational diabetes mellitus during the SARS-CoV-2 pandemic

David Simmons
, Victoria L. Rudland
, Vincent Wong
, Jeff Flack
, Adam Mackie
, Glynis P. Ross
, Suzette Coat
, Raiyomand Dalal
, Bill M. Hague
, Ngai Wah Cheung

Research output: Contribution to journal › Article › peer-review

11 Citations (Scopus)

Abstract

The balance between avoiding severe acute respiratory syndrome coronavirus-2 contagion and reducing wider clinical risk is unclear for gestational diabetes mellitus (GDM) testing. Recent recommendations promote diagnostic approaches that limit collection but increase undiagnosed GDM, which potentially increases adverse pregnancy outcome risks. The most sensitive approach to detecting GDM at 24–28 weeks beyond the two-hour oral glucose tolerance test (OGTT) is a one-hour OGTT (88% sensitivity). Less sensitive approaches use fasting glucose alone (≥5.1 mmol/L: misses 44–54% GDM) or asking ~20% of women for a second visit (fasting glucose 4.7–5.0 mmol/L (62–72% sensitive)). Choices should emphasise local and patient decision-making.

Original language	English
Pages (from-to)	660-666
Number of pages	7
Journal	Australian and New Zealand Journal of Obstetrics and Gynaecology
Volume	60
Issue number	5
DOIs	https://doi.org/10.1111/ajo.13224
Publication status	Published - 1 Oct 2020

Bibliographical note

Publisher Copyright:
© 2020 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

COVID-19 (disease)
diabetes in pregnancy
diagnosis
stillbirth

Access to Document

10.1111/ajo.13224

Cite this

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title = "Options for screening for gestational diabetes mellitus during the SARS-CoV-2 pandemic",

abstract = "The balance between avoiding severe acute respiratory syndrome coronavirus-2 contagion and reducing wider clinical risk is unclear for gestational diabetes mellitus (GDM) testing. Recent recommendations promote diagnostic approaches that limit collection but increase undiagnosed GDM, which potentially increases adverse pregnancy outcome risks. The most sensitive approach to detecting GDM at 24–28 weeks beyond the two-hour oral glucose tolerance test (OGTT) is a one-hour OGTT (88\% sensitivity). Less sensitive approaches use fasting glucose alone (≥5.1 mmol/L: misses 44–54\% GDM) or asking \textasciitilde{}20\% of women for a second visit (fasting glucose 4.7–5.0 mmol/L (62–72\% sensitive)). Choices should emphasise local and patient decision-making.",

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AU - Simmons, David

AU - Rudland, Victoria L.

AU - Wong, Vincent

AU - Flack, Jeff

AU - Mackie, Adam

AU - Ross, Glynis P.

AU - Coat, Suzette

AU - Dalal, Raiyomand

AU - Hague, Bill M.

AU - Cheung, Ngai Wah

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AB - The balance between avoiding severe acute respiratory syndrome coronavirus-2 contagion and reducing wider clinical risk is unclear for gestational diabetes mellitus (GDM) testing. Recent recommendations promote diagnostic approaches that limit collection but increase undiagnosed GDM, which potentially increases adverse pregnancy outcome risks. The most sensitive approach to detecting GDM at 24–28 weeks beyond the two-hour oral glucose tolerance test (OGTT) is a one-hour OGTT (88% sensitivity). Less sensitive approaches use fasting glucose alone (≥5.1 mmol/L: misses 44–54% GDM) or asking ~20% of women for a second visit (fasting glucose 4.7–5.0 mmol/L (62–72% sensitive)). Choices should emphasise local and patient decision-making.

KW - COVID-19 (disease)

KW - diabetes in pregnancy

KW - diagnosis

KW - stillbirth

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Options for screening for gestational diabetes mellitus during the SARS-CoV-2 pandemic

Abstract

Bibliographical note

UN SDGs

Keywords

Access to Document

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Cite this