Towards a global consensus on GDM diagnosis: Light at the end of the tunnel?
Open accessAbstract
The diagnostic criteria for GDM continue to be debated. The arguments presented here may help to dissipate confusion and help build global consensus.
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Gestational diabetes mellitus is associated with greater incidence of large-for-gestational-age infants, fetal adiposity and macrosomia.
“GDM is associated with greater incidence of large-for-gestational-age infants, fetal adiposity and macrosomia”
From Recent Experimental Studies of Maternal Obesity, Diabetes during Pregnancy and the Developmental Origins of Cardiovascular Disease (2022) · cites this paper as [68]
Section 3 (page not available) states that, under IADPSG and WHO diagnostic criteria, GDM is associated with almost twice the risk of large-for-gestational-age babies and with increased fetal adiposity. Our copy does not state an association with macrosomia, so that part of the claim is unsupported. (LLM, conf=0.88)
Experimental — accuracy not yet measuredGestational diabetes mellitus is associated with neonatal hyperinsulinemia and shoulder dystocia.
“neonatal hyperinsulinemia and shoulder dystocia”
From Recent Experimental Studies of Maternal Obesity, Diabetes during Pregnancy and the Developmental Origins of Cardiovascular Disease (2022) · cites this paper as [68]
Gestational diabetes mellitus is associated with increased risk of preterm delivery.
“and increased risk of preterm delivery [65,66,67,68,69].”
From Recent Experimental Studies of Maternal Obesity, Diabetes during Pregnancy and the Developmental Origins of Cardiovascular Disease (2022) · cites this paper as [68]
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Cites
Hyperglycemia and adverse pregnancy outcomes
(2008) · New England Journal of Medicine · doi:10.1056/nejmoa0707943 · Cited by 5,563 · see citing works
International Association of Diabetes and Pregnancy Study Groups Consensus Panel (2010) · Diabetes Care · doi:10.2337/dc09-1848 · Cited by 5,390 · see citing works
Type 2 diabetes mellitus after gestational diabetes: a systematic review and meta-analysis
Bellamy, L., Casas, J.-P., Hingorani, A. D., & Williams, D. (2009) · The Lancet · doi:10.1016/s0140-6736(09)60731-5 · Cited by 3,253 · see citing works
Prevalence of and Trends in Diabetes Among Adults in the United States, 1988-2012
Menke, A., Casagrande, S., Geiss, L., & Cowie, C. C. (2015) · JAMA · doi:10.1001/jama.2015.10029 · Cited by 2,362 · see citing works
Metzger, B. E., Gabbe, S. G., Persson, B., Lowe, L. P., Dyer, A. R., Oats, J. J. N., & Buchanan, T. A. (2010) · Diabetes Care · doi:10.2337/dc10-0719 · Cited by 1,888 · see citing works
Kramer, C. K., Campbell, S., & Retnakaran, R. (2019) · Diabetologia · doi:10.1007/s00125-019-4840-2 · Cited by 965 · see citing works
Ratner, R. E., Christophi, C. A., Metzger, B. E., Dabelea, D., Bennett, P. H., Pi-Sunyer, X., Fowler, S., Kahn, S. E., & The Diabetes Prevention Program Research Group (2008) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2008-0772 · Cited by 867 · see citing works
Hod, M., Kapur, A., Sacks, D. A., Hadar, E., Agarwal, M., Di Renzo, G. C., Roura, L. C., McIntyre, H. D., Morris, J. L., & Divakar, H. (2015) · International Journal of Gynecology & Obstetrics · doi:10.1016/s0020-7292(15)30033-3 · Cited by 767 · see citing works
Self-citationGestational diabetes: The consequences of not treating
Langer, O., Yogev, Y., Most, O., & Xenakis, E. M. J. (2005) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2004.11.039 · Cited by 677 · see citing works
Lowe, W. L., Scholtens, D. M., Lowe, L. P., Kuang, A., Nodzenski, M., Talbot, O., Catalano, P. M., Linder, B., Brickman, W. J., Clayton, P., et al. (2018) · JAMA · doi:10.1001/jama.2018.11628 · Cited by 591 · see citing works
(2013) · Obstetrics and Gynecology · doi:10.1097/01.aog.0000433006.09219.f1 · Cited by 583 · see citing works
Gestational diabetes and adverse perinatal outcomes from 716,152 births in France in 2012
Billionnet, C., Mitanchez, D., Weill, A., Nizard, J., Alla, F., Hartemann, A., & Jacqueminet, S. (2017) · Diabetologia · doi:10.1007/s00125-017-4206-6 · Cited by 574 · see citing works
Hod, M., Kapur, A., Sacks, D. A., Hadar, E., Agarwal, M., Di Renzo, G. C., Roura, L. C., McIntyre, H. D., Morris, J. L., & Divakar, H. (2015) · International Journal of Gynecology & Obstetrics · doi:10.1016/s0020-7292(15)30007-2 · Cited by 558 · see citing works
Self-citationHyperglycemia and Adverse Pregnancy Outcomes
Metzger, B. E., Lowe, L. P., Dyer, A. R., Trimble, E. R., Chaovarindr, U., Coustan, D. R., Hadden, D. R., McCance, D. R., Hod, M., McIntyre, H. D., et al. (2009) · Obstetric Anesthesia Digest · doi:10.1097/01.aoa.0000344706.95925.dc · Cited by 479 · see citing works
Self-citationAroda, V. R., Christophi, C. A., Edelstein, S. L., Zhang, P., Herman, W. H., Barrett-Connor, E., Delahanty, L. M., Montez, M. G., Ackermann, R. T., Zhuo, X., et al. (2015) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2014-3761 · Cited by 467 · see citing works
Association of Intrauterine Exposure to Maternal Diabetes and Obesity With Type 2 Diabetes in Youth
Dabelea, D., Mayer-Davis, E. J., Lamichhane, A. P., D'Agostino, R. B., Liese, A. D., Vehik, K. S., Narayan, K. M. V., Zeitler, P., & Hamman, R. F. (2008) · Diabetes Care · doi:10.2337/dc07-2417 · Cited by 415 · see citing works
Hartling, L., Dryden, D. M., Guthrie, A., Muise, M., Vandermeer, B., & Donovan, L. (2013) · Annals of Internal Medicine · doi:10.7326/0003-4819-159-2-201307160-00661 · Cited by 395 · see citing works
Horvath, K., Koch, K., Jeitler, K., Matyas, E., Bender, R., Bastian, H., Lange, S., & Siebenhofer, A. (2010) · BMJ · doi:10.1136/bmj.c1395 · Cited by 359 · see citing works
Type 2 Diabetes Mellitus After Gestational Diabetes: A Systematic Review and Meta-Analysis
Bellamy, L., Casas, J. P., Hingorani, A. D., & Williams, D. (2010) · Obstetric Anesthesia Digest · doi:10.1097/01.aoa.0000370496.77221.05 · Cited by 293 · see citing works
Lactation and Progression to Type 2 Diabetes Mellitus After Gestational Diabetes Mellitus
Gunderson, E. P., Hurston, S. R., Ning, X., Lo, J. C.-M., Crites, Y., WALTON, D. L., Dewey, K. G., Azevedo, R. A., Young, S., Fox, G., et al. (2015) · Annals of Internal Medicine · doi:10.7326/m15-0807 · Cited by 248 · see citing works
Retnakaran, R., & Shah, B. R. (2009) · Canadian Medical Association Journal · doi:10.1503/cmaj.090569 · Cited by 194 · see citing works
An association between gestational diabetes mellitus and long-term maternal cardiovascular morbidity
Kessous, R., Shoham‐Vardi, I., Pariente, G., Sherf, M., & Sheiner, E. (2013) · Heart · doi:10.1136/heartjnl-2013-303945 · Cited by 191 · see citing works
Retnakaran, R., & Shah, B. R. (2017) · Diabetes Care · doi:10.2337/dc16-1400 · Cited by 167 · see citing works
Bao, W., Tobias, D. K., Bowers, K., Chavarro, J., Vaag, A., Grunnet, L. G., Strøm, M., Mills, J., Liu, A., Kiely, M., et al. (2014) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2014.1795 · Cited by 166 · see citing works
Cain, M. A., Salemi, J. L., Tanner, J. P., Kirby, R. S., Salihu, H. M., & Louis, J. M. (2016) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2016.05.047 · Cited by 143 · see citing works
Diabetes Prevention Program Research Group, Nathan, D. M., Knowler, W. C., Edelstein, S., Crandall, J. P., Dabelea, D., Goldberg, R. B., Kahn, S. E., Mather, K. J., Trandafirescu, G., et al. (2019) · Diabetes Care · doi:10.2337/dc18-1970 · Cited by 128 · see citing works
Cnattingius, S., & Villamor, E. (2015) · The Lancet · doi:10.1016/s0140-6736(15)00990-3 · Cited by 124 · see citing works
The Inter- and Intragenerational Impact of Gestational Diabetes on the Epidemic of Type 2 Diabetes
Osgood, N. D., Dyck, R. F., & Grassmann, W. K. (2010) · American Journal of Public Health · doi:10.2105/ajph.2009.186890 · Cited by 117 · see citing works
Gestational diabetes: do lean young caucasian women need to be tested?
Moses, R. G., Moses, J., & Davis, W. S. (1998) · Diabetes Care · doi:10.2337/diacare.21.11.1803 · Cited by 95 · see citing works
Gestational Diabetes Mellitus Is a Significant Risk Factor for Long-Term Maternal Renal Disease
Beharier, O., Shoham‐Vardi, I., Pariente, G., Sergienko, R., Kessous, R., Baumfeld, Y., Szaingurten‐Solodkin, I., & Sheiner, E. (2015) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2014-4474 · Cited by 93 · see citing works
Hod, M., Kapur, A., & McIntyre, D. H. (2019) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2019.01.206 · Cited by 85 · see citing works
Self-citationLevy, D. P., Sheiner, E., Wainstock, T., Sergienko, R., Landau, D., & Walfisch, A. (2017) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2017.07.015 · Cited by 84 · see citing works
Prevalence of Diabetes in Adolescents Aged 12 to 19 Years in the United States, 2005-2014
Menke, A., Casagrande, S. S., & Cowie, C. C. (2016) · JAMA · doi:10.1001/jama.2016.8544 · Cited by 77 · see citing works
Kajantie, E., Osmond, C., & Eriksson, J. G. (2016) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2016.10.041 · Cited by 51 · see citing works
Saccone, G., Khalifeh, A., Al-Kouatly, H. B., Sendek, K., & Berghella, V. (2020) · The Journal of Maternal-Fetal & Neonatal Medicine · doi:10.1080/14767058.2018.1519543 · Cited by 49 · see citing works
Menke, A., Casagrande, S. S., & Cowie, C. C. (2018) · Annals of Epidemiology · doi:10.1016/j.annepidem.2018.07.012 · Cited by 46 · see citing works
Counterpoint: Establishing Consensus in the Diagnosis of GDM Following the HAPO Study
McIntyre, D. H., Metzger, B. E., Coustan, D. R., Dyer, A. R., Hadden, D. R., Hod, M., Lowe, L. P., Oats, J. J. N., & Persson, B. (2014) · Current Diabetes Reports · doi:10.1007/s11892-014-0497-x · Cited by 39 · see citing works
Self-citationRisk Factors for Hyperglycaemia in Pregnancy in Tamil Nadu, India
Nielsen, K. K., Damm, P., Kapur, A., Balaji, V., Balaji, M. S., Seshiah, V., & Bygbjerg, I. C. (2016) · PLoS ONE · doi:10.1371/journal.pone.0151311 · Cited by 32 · see citing works
Self-citationFIGO-IDF joint statement and declaration on hyperglycemia in pregnancy
SADIKOT, S. M., Purandare, C. N., Cho, N. H., & Hod, M. (2018) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2018.02.031 · Cited by 31 · see citing works
Self-citationZhou, Q., Wang, Q., Shen, H., Zhang, Y., Zhang, S., & Li, X. (2016) · Diabetes Care · doi:10.2337/dc16-2188 · Cited by 29 · see citing works
Narayan, K. M. V., Vehik, K. S., Dabelea, D., Liese, A. D., D’Agostino, R., Mayer‐Davis, E. J., Zeitler, P. S., Hamman, R. F., & Lamichhane, A. P. (2020) · Carolina Digital Repository (University of North Carolina at Chapel Hill) · doi:10.17615/05sw-g427 · Cited by 26 · see citing works
Berghella, V., Caissutti, C., Saccone, G., & Khalifeh, A. (2019) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2019.01.231 · Cited by 13 · see citing works
Flagged first, then by citations
1 of the 43 references couldn’t be matched to a known paper.
Research works printed but not linked: 1
- International Diabetes Federation IDF Diabetes Atlas 7th Edition. http://www.diabe tesat las.org/. Accessed March 10, 2020.
Cited by
Sorted by citations
Gregg, E. W., Buckley, J., Ali, M. K., Davies, J. I., Flood, D., Mehta, R., Griffiths, B., Lim, L., Manne‐Goehler, J., Pearson‐Stuttard, J., et al. (2023) · The Lancet · doi:10.1016/s0140-6736(23)00001-6 · Cited by 243 · see citing works
McAuliffe, F. M., Killeen, S. L., Jacob, C. M., Hanson, M. A., Hadar, E., McIntyre, D. H., Kapur, A., Kihara, A., Ronald, C. W., Divakar, H., et al. (2020) · International Journal of Gynecology & Obstetrics · doi:10.1002/ijgo.13334 · Cited by 163 · see citing works
Self-citationGestational Diabetes: An Update 60 Years After O’Sullivan and Mahan
McIntyre, H. D., Kampmann, U., Dalsgaard Clausen, T., Laurie, J., & Ma, R. C. W. (2024) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/clinem/dgae709 · Cited by 32 · see citing works
HtrA1 in Gestational Diabetes Mellitus: A Possible Biomarker?
Tossetta, G., Fantone, S., Gesuita, R., Renzo, G. C. D., Meyyazhagan, A., Tersigni, C., Scambia, G., Simone, N. D., & Marzioni, D. (2022) · Diagnostics · doi:10.3390/diagnostics12112705 · Cited by 35 · see citing works
Kereliuk, S. M., & Dolinsky, V. W. (2022) · International Journal of Molecular Sciences · doi:10.3390/ijms23084467 · Cited by 34 · see citing works
Farrelly, R., Kennedy, M., Spencer, R. N., & Forbes, K. A. (2023) · The Journal of Physiology · doi:10.1113/jp282849 · Cited by 35 · see citing works
Negotiating Gestational Diabetes Mellitus in India: A National Approach
Thanawala, U., Divakar, H., Jain, R. K., & Agarwal, M. (2021) · Medicina · doi:10.3390/medicina57090942 · Cited by 17 · see citing works
Self-citationMcIntyre, H. D., Oats, J. J. N., Kihara, A. B., Divakar, H., Kapur, A., Poon, L. C., & Hod, M. (2021) · International Journal of Gynecology & Obstetrics · doi:10.1002/ijgo.13764 · Cited by 16 · see citing works
Self-citationThe experiences of individuals who have had gestational diabetes: A qualitative exploration
Roesler, A., Butten, K., Taylor, P., Morrison, M., Varnfield, M., & Holmes‐Truscott, E. (2024) · Diabetic Medicine · doi:10.1111/dme.15374 · Cited by 13 · see citing works
Zawiejska, A., Wróblewska‐Seniuk, K., Gutaj, P., Kippen, J., Gomulska, A., & Wender-Ożegowska, E. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11071777 · Cited by 12 · see citing works
Chu, L. C. H., Sugiyama, T., & Ma, R. C. W. (2021) · Journal of Diabetes Investigation · doi:10.1111/jdi.13670 · Cited by 10 · see citing works
Toft, J. H., Bleskestad, I. H., Skadberg, Ø., Gøransson, L. G., & Økland, I. (2022) · Scandinavian Journal of Clinical and Laboratory Investigation · doi:10.1080/00365513.2022.2033827 · Cited by 10 · see citing works
Simmons, D. S. (2020) · Australian and New Zealand Journal of Obstetrics and Gynaecology · doi:10.1111/ajo.13167 · Cited by 7 · see citing works
sh- Ambra1 inhibits IRS-1/PI3K/Akt signalling pathway to reduce autophagy in gestational diabetes
Qu, X., Li, X., Feng, Y., Wang, X., Li, L., Wang, Y., & Chu, Y. (2024) · Endokrynologia Polska · doi:10.5603/ep.95519 · Cited by 4 · see citing works
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Tola, A., Assefa, N., Dessie, Y., Oljira, L., Regassa, L. D., Gure, T., & Gobena, T. (2024) · Systematic Reviews · doi:10.1186/s13643-024-02526-z · Cited by 3 · see citing works
Kojima, A., Ikehara, S., Miyazaki, J., Kawasaki, R., Iso, H., & The Japan Environment and Children's Study Group (2025) · Annals of Nutrition and Metabolism · doi:10.1159/000549407 · Cited by 2 · see citing works
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Fehsenfeld, M., Maindal, H. T., & Burau, V. (2024) · Journal of Health Organization and Management · doi:10.1108/jhom-03-2023-0063 · Cited by 2 · see citing works
Pirmatova, D., Dodkhoeva, M., Hasbargen, U., Flemmer, A. W., Abdusamatzoda, Z., Saburova, K., Salieva, N., Radzhabova, S., & Parhofer, K. G. (2022) · Experimental and Clinical Endocrinology & Diabetes · doi:10.1055/a-1869-4159 · Cited by 2 · see citing works
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Diagnostic criteria for gestational diabetes mellitus
O’Malley, E. G., & Turner, M. J. (2020) · Australian and New Zealand Journal of Obstetrics and Gynaecology · doi:10.1111/ajo.13214 · Cited by 1 · see citing works
Simmons, D. S. (2020) · Australian and New Zealand Journal of Obstetrics and Gynaecology · doi:10.1111/ajo.13215 · Cited by 1 · see citing works
- Authors
- Kapur, A., McIntyre, H. D., Divakar, H., Di Renzo, G. C., Kihara, A. B., McAuliffe, F., Hanson, M., Ma, R. C., Hod, M., & FIGO Working Group on Hyperglycemia in Pregnancy
- Affiliations
- World Diabetes Foundation (DK)
- Mater Health and Mater Research University of Queensland Brisbane Australia
- Divakars Speciality Hospital Bangalore India
- Center of Perinatal and Reproductive Medicine Department of Obstetrics and Gynecology University of Perugia Italy
- University of Nairobi (KE)
- National Maternity Hospital (IE)
- University of Southampton (GB)
- Department of Medicine and Therapeutics The Prince of Wales Hospital The Chinese University of Hong Kong China
- Rabin Medical Center (IL)
- International Federation of Gynaecology and Obstetrics (GB)
- Corresponding author
- Hod, Moshe
- Venue
- International Journal of Gynecology & Obstetrics
- Publisher
- Wiley
- Published
- 2020-04-25
- Volume
- 149
- Issue
- 3
- Pages
- 257-261
- ISSN
- 0020-6695 (ISSN-L)
- 0020-7292
- 1879-3479
- OpenAlex
- W3020215275
- Cited by
- 22
- References
- 43
- Citations by year
- 2025: 1 · 2024: 6 · 2023: 3 · 2022: 5 · 2021: 3 · 2020: 4
- FWCI
- 2.29
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- International Journal of Gynecology & Obstetrics (publishedVersion)
- PubMed (publishedVersion)
- ePrints Soton (University of Southampton) (acceptedVersion)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- gestational diabetes mellitus, diagnostic criteria, international consensus, diagnostic thresholds
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