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Diagnosis of more gestational diabetes lead to better pregnancy outcomes: Comparing the International Association of the Diabetes and Pregnancy Study Group criteria, and the Carpenter and Coustan criteria

Open access
Wu, En‐Tzu, Nien, Feng‐Jung, Kuo, Chun‐Heng, Chen, Szu‐Chi, Chen, Kuan‐Yu, Chuang, Lee‐Ming, Li, Hung‐Yuan, Lee, Chien‐Nan·2016·Journal of Diabetes Investigation
DOI 10.1111/jdi.12378PMC PMC4718104
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Abstract

Aims/Introduction: The International Association of the Diabetes and Pregnancy Study Group (IADPSG) criteria for gestational diabetes are associated with increased prevalence. However, it remains unknown if intervention for more women with gestational diabetes mellitus by the IADPSG criteria results in better pregnancy outcomes than adopting the Carpenter and Coustan (C&C) criteria in Asian populations. Materials and Methods: This was a retrospective cohort study. A total of 1,840 women, 952 subjects by the IADPSG criteria and 888 subjects by the C&C criteria, who delivered singletons in 2011 in a single tertiary center, were included in the study. The same therapeutic interventions were offered to women with gestational diabetes mellitus by the two criteria. Maternal and neonatal outcomes were evaluated. Results: Adopting the IADPSG criteria increased the prevalence of gestational diabetes mellitus diagnosis to 13.44%, compared with 2.59% by the C&C criteria. The diagnosis was made 3 weeks earlier by the IADPSG criteria (27 vs 30.5 weeks, P < 0.0001). Adopting the IADPSG criteria was associated with reduced risk of primary cesarean section (adjusted odds ratio 0.79, 95% confidence interval 0.63–0.998, P < 0.05) and having any one of the adverse fetal outcomes (adjusted odds ratio 0.79, 95% confidence interval 0.64–0.998, P < 0.05), including birthweight >90th percentile, jaundice, admission to neonatal intensive care unit, birth trauma, neonatal hypoglycemia and fetal death. Conclusions: Adopting the IADPSG criteria is associated with improved pregnancy outcomes, at the expense of increased prevalence of gestational diabetes mellitus diagnosis.

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  • Several randomized controlled trials (RCTs) have provided evidence of improved perinatal outcomes of GDM in the second half of pregnancy.

    “Although the diagnostic criteria for GDM differ, several randomized controlled trials (RCTs) have provided evidence of improved perinatal outcomes of GDM in the second half of pregnancy.”

    From Clinical challenges in early pregnancy in Japan: An update on gestational diabetes (2024) · cites this paper as [14]

    The Discussion (page unavailable) reports improved pregnancy outcomes in this study and cites one randomized trial that found treatment of mild GDM reduced fetal overgrowth and cesarean delivery. It does not report evidence from several RCTs or establish that those trials concerned treatment in the second half of pregnancy. (LLM, conf=0.84)

    Experimental — accuracy not yet measured

  • GDM based on IADPSG criteria is associated with improved pregnancy outcomes, although it increases the incidence of GDM.

    “A retrospective cohort study showed that GDM based on IADPSG criteria was associated with improved pregnancy outcomes, although it increases the incidence of GDM 14 .”

    From Clinical challenges in early pregnancy in Japan: An update on gestational diabetes (2024) · cites this paper as [14]

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Research works printed but not linked: 24

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Cited by

Sorted by citations

Authors
Wu, E., Nien, F., Kuo, C., Chen, S., Chen, K., Chuang, L., Li, H., & Lee, C.
Affiliations
  • National Taiwan University Hospital (TW)
  • Department of Internal Medicine New Taipei City Hospital New Taipei City Taiwan
Corresponding author
  • Li, Hung‐Yuan
  • Lee, Chien‐Nan
ORCID
Venue
Journal of Diabetes Investigation
Publisher
Wiley
Published
2015-06-22
Volume
7
Issue
1
Pages
121-126
ISSN
  • 2040-1116 (ISSN-L)
  • 2040-1124
DOI
10.1111/jdi.12378
PMC
PMC4718104
OpenAlex
W1842819246
Cited by
55
References
7
Citations by year
2025: 3 · 2024: 2 · 2023: 2 · 2022: 8 · 2021: 6 · 2020: 7 · 2019: 5 · 2018: 8 · 2017: 10 · 2016: 2 · 2015: 1 · 2014: 1
FWCI
7.97
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Diabetes Investigation (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
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, IADPSG criteria, Carpenter and Coustan criteria, diagnostic criteria, pregnancy outcomes, cesarean section, neonatal outcomes, Asian women, early diagnosis
MeSH terms
Adult, Diabetes Mellitus, Female, Humans, Infant, Newborn, Pregnancy, Pregnancy Outcome, Retrospective Studies, Cohort Studies, Diabetes, Gestational, Internationality

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