Diabetes in Pregnancy: Indian Scenario
Abstract
Prevalence of diabetes is at rising globally as well as in India. An equal rise has been noted in the prevalence of diabetes in pregnancy also called Gestational Diabetes Mellitus (GDM). India has the second largest diabetic population in the world after China. Apart from ethnicity, rise in prevalence of obesity nd an increase in the body mass index (BMI) in women of child bearing potential are associated with increased risk for GDM. As of now there has been no consensus in diagnostic criteria for GDM. Even in India controversy exists in different diagnostic criteria to be applied for diagnosis of GDM. It has been evident through number of studies that gestational hyperglycaemia is associated with maternal as well as foetal complications. Current review addresses the clinical issues related with GDM in terms of its prevalence, diagnostic criteria, complications associated with GDM and management.
References
2. Anjana RM, Pradeepa R, Deepa M, Datta M, Sudha V, Unnikrishnan R et al.Prevalence of diabetes and prediabetes (impaired fasting glucose and/or impaired glucose tolerance) in urban and rural India: phase I results of the Indian Council of Medical Research-INdiaDIABetes (ICMR-INDIAB) study. Diabetologia. 2011:54:30222-7
3. Sheshiah V, Balaji V, Balaji MS, Sanjeevani CB, Green A. Gestational diabetes mellitus in India. J Assoc Physicians India. 2004;52:707-11
4. Mittal A, Bansal B, Kalra S. Gestational diabetes in India: Science and Society. Indian Journal of Endocrinology and Metabolism. 2015;19(6):702-703
5. Swami S, Mehetre R, Shivane V, Bandgar T, Menon P, Shah N. Prevalence of carbohydrate intolerance of varying degrees in pregnant females in Western India ( Maharashtra)- A hospital based survey. J Indian Med Assoc. 2008; 106:712-4 &735
6. Catalano PM, McIntyre HD, Cruickshank JK, McCance DR, Dyer AR, Metzger BE et al. The hyperglycemia and adverse pregnancy outcome study: Association of GDM and obesity with pregnancy
outcomes. Diabetes Care. 2012;35:780-6
7. V Mohan, Usha S, Uma R. Screening for gestational diabetes in India: Where do we stand? J Postgrad Med. 2015;61:151-4.
8. Metzger BE, Gabbe SG, Persson B, et al. International Association of Diabetes and Pregnancy Study Groups Consensus Panel. International Association of Diabetes and Pregnancy Study Groups recommendations on the diagnosis and classification of hyperglycemia in pregnancy. Diabetes Care. 2010;33:676– 682.
9. Seshiah V, Das AK, Balaji V, Joshi S, Parikh M, Gupta S et al. Gestational diabetes mellitus for Diabetes in Pregnancy Group (DIPSI). JAPI. 2006;54:622-8.
10. Mohan V, Mahalakshmi MM, Bhavadharini B, Maheswari K, Kalaiyarasi G, Anjana RM, et al. Comparison of screening for gestational diabetes mellitus by oral glucose tolerance tests done in
the non-fasting (random) and fasting states. Acta Diabetol. 2014;51:1007-1013.
11. Kampmann U et al. Gestational diabetes mellitus: A clinical update. World J Diabetes. 2015;25; 6(8):1065- 1072.
