Current practices in the diagnosis and management of gestational diabetes mellitus in India (WINGS-5)
| Autor: | Balaji Bhavadharini, Arivudainambi Kayal, Belma Malanda, Kumar Maheswari, R M Anjana, Viswanathan Mohan, Saravanan Jebarani, Ranjit Unnikrishnan, Anne Belton, Lyudmil Ninov, Ram Uma, Manni Mohanraj Mahalakshmi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Study groups South asia Endocrinology Diabetes and Metabolism education 030209 endocrinology & metabolism World Health Organization lcsh:Diseases of the endocrine glands. Clinical endocrinology 03 medical and health sciences South Asians 0302 clinical medicine Endocrinology Diabetes mellitus medicine Screening method 030212 general & internal medicine Asian Indians Oral glucose tolerance lcsh:RC799-869 health care economics and organizations Gynecology Pregnancy lcsh:RC648-665 Obstetrics business.industry International Association of Diabetes and Pregnancy Study Groups medicine.disease gestational diabetes mellitus Gestational diabetes First trimester Original Article lcsh:Diseases of the digestive system. Gastroenterology business |
| Zdroj: | Indian Journal of Endocrinology and Metabolism, Vol 20, Iss 3, Pp 364-368 (2016) Indian Journal of Endocrinology and Metabolism |
| ISSN: | 2230-9500 2230-8210 |
| Popis: | Aim: To obtain information on existing practices in the diagnosis and management of gestational diabetes mellitus (GDM) among physicians/diabetologists/endocrinologists and obstetricians/gynecologists (OB/GYNs) in India. Methods: Details regarding diagnostic criteria used, screening methods, management strategies, and the postpartum follow-up of GDM were obtained from physicians/diabetologists/endocrinologists and OB/GYNs across 24 states of India using online/in-person surveys using a structured questionnaire. Results: A total of 3841 doctors participated in the survey of whom 68.6% worked in private clinics. Majority of OB/GYNs (84.9%) preferred universal screening for GDM, and screening in the first trimester was performed by 67% of them. Among the OB/GYNs, 600 (36.7%) reported using the nonfasting 2 h criteria for diagnosing GDM whereas 560 (29.4%) of the diabetologists/endocrinologists reported using the same. However, further questioning on the type of blood sample collected and the glucose load used revealed that, in reality, only 208 (12.7%) and 72 (3.8%), respectively, used these criteria properly. The survey also revealed that the International Association of Diabetes and Pregnancy Study Groups criteria was followed properly by 299 (18.3%) of OB/GYNs and 376 (19.7%) of physicians/diabetologists/endocrinologists. Postpartum oral glucose tolerance testing was advised by 56% of diabetologists and 71.6% of OB/GYNs. Conclusion: More than half of the physicians/diabetologists/endocrinologists and OB/GYNs in India do not follow any of the recommended guidelines for the diagnosis of GDM. This emphasizes the need for increased awareness about screening and diagnosis of GDM both among physicians/diabetologists/endocrinologists and OB/GYNs in India. |
| Databáze: | OpenAIRE |
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