Strategies for implementing the WHO diagnostic criteria and classification of hyperglycaemia first detected in pregnancy

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

    Research output: Contribution to journalArticlepeer-review

    103 Citations (Scopus)

    Abstract

    The World Health Organization (WHO) has recently released updated recommendations on Diagnostic Criteria and Classification of Hyperglycaemia First Detected in Pregnancy which are likely to increase the prevalence of gestational diabetes mellitus (GDM). Any increase in the number of women with GDM has implications for health services since these women will require treatment and regular surveillance during the pregnancy. Some health services throughout the world may have difficulty meeting these demands since country resources for addressing the diabetes burden are finite and resource allocation must be prioritised by balancing the need to improve care of people with diabetes and finding those with undiagnosed diabetes, including GDM. Consequently each health service will need to assess their burden of hyperglycaemia in pregnancy and decide if and how it will implement programmes to test for and treat such women. This paper discusses some considerations and options to assist countries, health services and health professionals in these deliberations.
    Original languageEnglish
    Pages (from-to)364-372
    Number of pages9
    JournalDiabetes Research and Clinical Practice
    Volume103
    Issue number3
    DOIs
    Publication statusPublished - 2014

    Keywords

    • World Health Organization
    • diabetes in pregnancy
    • diagnosis
    • hyperglycemia

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