Prevalence of gestational diabetes mellitus in Argentina according to the Latin American Diabetes Association (ALAD) and International Association of Diabetes and Pregnancy Study Groups (IADPSG) diagnostic criteria and the associated maternal-neonatal complications
Abstract
In Argentina, gestational diabetes mellitus (GDM) is diagnosed by the Latin American Diabetes Association (ALAD) diagnostic criterion. In this work, we investigated GDM prevalence according to the ALAD and IADPSG diagnostic criteria, evaluated maternal and fetal outcomes and assessed whether fasting glycemia between 92-99 mg/dL was associated with increased risk of macrosomia and maternal obesity/overweight in an Argentine cohort of pregnant women. GDM prevalence was 9.8% with the ALAD diagnostic criterion and 25% considering the IADPSG criterion. Increased prevalence of maternal obesity/overweight was observed in patients with fasting glycemia over 99 mg/dL. A population of high metabolic risk is identified by the ALAD criterion.
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In Argentina, no differences were found in BMI, maternal age or pregnancy length between pregnant patients diagnosed using ALAD and IADPSG guidelines.
“No differences were found in BMI, maternal age or pregnancy length between pregnant patients diagnosed using the ALAD and IADPSG guidelines.”
From Evolution of Gestational Diabetes Mellitus across Continents in 21st Century (2022) · cites this paper as [83]
In Argentina, the gestational diabetes mellitus incidence using IADPSG criteria was 2.54 times higher (24.9%) than the prevalence according to ALAD guidelines (9.8%).
“The results showed that the GDM incidence in Argentina using the IADPSG criteria was 2.54 higher (24.9%) than the prevalence according to the ALAD guidelines (9.8%).”
From Evolution of Gestational Diabetes Mellitus across Continents in 21st Century (2022) · cites this paper as [83]
In Argentina, there was an almost two-fold increase in gestational diabetes mellitus prevalence compared to 1995 (5.0%) and 2009 (5.8%).
“Additionally, the authors presented an almost two-fold increase in the GDM prevalence [83] in comparison to the years: 1995 (5.0%) [84] and 2009 (5.8%) [85].”
From Evolution of Gestational Diabetes Mellitus across Continents in 21st Century (2022) · cites this paper as [83]
Cites
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“…diagnosed for the first time during pregnancy (American Diabetes Association, 2009; Ben-Haroush et al., 2004; Kjos & Buchanan, 1999), is a prevalent and complex disease when considering both its etiology and pathophysiological mechanisms (Damm et al., 2016; Johns et al., 2018; Plows et al., 2018).”
BackgroundDiagnosis and classification of diabetes mellitus
American Diabetes Association (2009) · Diabetes Care · doi:10.2337/dc09-s062 · Cited by 1,817 · see citing works
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Gestational diabetes mellitus and adverse pregnancy outcomes: systematic review and meta-analysis
Ye, W., Luo, C., Huang, J., Li, C., Liu, Z., & Liu, F. (2022) · BMJ · doi:10.1136/bmj-2021-067946 · Cited by 1,073 · see citing works
Evolution of Gestational Diabetes Mellitus across Continents in 21st Century
Dłuski, D. F., Ruszała, M., Rudziński, G., Pożarowska, K., Brzuszkiewicz, K., & Leszczyńska-Gorzelak, B. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192315804 · Cited by 41 · see citing works
- Authors
- Gorban de Lapertosa, S., Sucani, S., Salzberg, S., Alvariñas, J., Faingold, C., Jawerbaum, A., Rovira, G., & on behalf of the DPSG-SAD Group
- Affiliations
- Facultad de Medicina Universidad Nacional del Nordeste (UNNE), Corrientes, Argentina
- Hospital Materno Provincial Dr R F Lucini, Córdoba, Argentina
- Department of Clinical Investigations, Instituto Centenario, Buenos Aires, Argentina
- Hospital General de Agudos Dr. Enrique Tornú (AR)
- Hospital César Milstein (AR)
- Consejo Nacional de Investigaciones Científicas y Técnicas (AR)
- Hospital Británico de Buenos Aires (AR)
- Corresponding author
- Rovira, Gabriela
- Venue
- Health Care for Women International
- Publisher
- Informa UK Limited
- Published
- 2020-09-04
- Volume
- 42
- Issue
- 4-6
- Pages
- 636-656
- ISSN
- 0739-9332 (ISSN-L)
- 1096-4665
- OpenAlex
- W3083547459
- Cited by
- 17
- References
- 6
- Citations by year
- 2026: 1 · 2025: 2 · 2023: 7 · 2022: 5 · 2021: 2
- FWCI
- 2.13
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Care For Women International (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- gestational diabetes mellitus, prevalence, IADPSG criteria, diagnostic criteria comparison, maternal obesity, maternal overweight, macrosomia, neonatal outcomes, maternal outcomes, fasting blood glucose, Argentina
- MeSH terms
- Argentina, Female, Glucose Tolerance Test, Humans, Infant, Newborn, Latin America, Pregnancy, Pregnancy Outcome, Prevalence, Diabetes, Gestational
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