The choice of thresholds to diagnose @entity6 ( @entity6 ) is a topic of ongoing controversy. In 2008, the @entity4854 and Adverse Pregnancy Outcomes (HAPO) study showed continuous graded relationships between increasing maternal plasma @entity413 and increasing frequency of adverse perinatal outcomes. @entity8455 (birth weight>90th percentile for gestational age), primary cesarean delivery, clinical @entity4053 and @entity3190 (cord serum C peptide>90th percentile) were all related to each of the 3 @entity413 values (fasting plasma @entity413 and at 1 and 2 hours after the 75 g oral @entity413 test). The associations were continuous with no obvious thresholds at which risks increased. The International Association of @entity6 Study Group (IADPSG) recently issued recommendations that the diagnosis of @entity6 be made when any of the following thresholds are met or exceeded: fasting plasma @entity413 : 0,92 g/L; 1 hour: 1,80 g/L; or 2 hours: 1,53 g/L after the 75 g oral @entity413 test. These criteria were chosen to identify pregnancy with increased risk of adverse perinatal outcomes. By the new criteria, the total incidence of @entity6677 in the HAPO population was 17, 8%. Fasting plasma @entity413 (FPG) in early pregnancy appears as an important predictive factor. Higher first trimester FPG (lower than those diagnostic of @entity6 ) are associated with increased risks of later diagnosis of @entity6677 and adverse pregnancy outcomes. Whether this new consensus will be adopted by public health bodies and professionals remains to be seen.

[Screening of XXXX : a new consensus?].

@entity6677 :: ('MESH:D016640', 'Disease') :: ['gestational diabetes'] @entity6 :: ('MESH:D003920', 'Disease') :: ['gestational diabetes mellitus', 'diabetes', 'Diabetes and Pregnancy', 'GDM'] @entity4053 :: ('MESH:D007003', 'Disease') :: ['neonatal hypoglycemia'] @entity3190 :: ('MESH:D006946', 'Disease') :: ['hyperinsulinemia'] @entity8455 :: ('MESH:D005320', 'Disease') :: ['Macrosomia'] @entity4854 :: ('MESH:D006943', 'Disease') :: ['Hyperglycemia'] @entity413 :: ('MESH:D005947', 'Chemical') :: ['glucose']
@entity6 :: (MESH:D003920,Disease) :: ['gestational diabetes mellitus']
