A Review of the Current Status of Gestational Diabetes Mellitus in Australia—The Clinical Impact of Changing Population Demographics and Diagnostic Criteria on Prevalence
Open accessAbstract
The current status of gestational diabetes mellitus in Australia reveals an almost quadrupling prevalence over the last decade. A narrative review of the current Australian literature reveals unique challenges faced by Australian maternity clinicians when addressing this substantial disease burden in our diverse population. Rising rates of maternal overweight and obesity, increasing maternal age and the diversity of ethnicity are key epidemiological impactors, overlaid by the 2015 changes in screening and diagnostic parameters. Our vast land mass and the remote location of many at risk women requires innovative and novel ideas for pathways to diagnose and effectively manage women with gestational diabetes mellitus. By modifying and modernizing models of care for women with gestational diabetes mellitus, we have the ability to address accessibility, resource management and our acute response to global events such as the COVID 19 pandemic. With continuing research, education and robust discourse, Australia is well placed to meet current and future challenges in the management of gestational diabetes mellitus.
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Laurie et al. confirmed an almost quadrupled prevalence of gestational diabetes mellitus in Australia between 2010 and 2019.
“Laurie et al. confirmed the almost quadrupled prevalence of GDM between 2010 and 2019 in Australia.”
From Evolution of Gestational Diabetes Mellitus across Continents in 21st Century (2022) · cites this paper as [20]
The Prevalence section (page unavailable) supports a substantial rise in Australian GDM diagnoses, reporting about 41,000 diagnoses in 2019. It describes a doubling of the number of affected women over the last decade, but does not establish that prevalence nearly quadrupled specifically between 2010 and 2019. (LLM, conf=0.78)
Experimental — accuracy not yet measuredIn Australia, 14,225 gestational diabetes mellitus cases were diagnosed in 2010 and 40,848 in 2019, one fifth of which were repeated diagnoses.
“A total of 14,225 GDM cases were diagnosed in 2010 and 40,848 cases in 2019 (one fifth were cases of repeated diagnoses of GDM) [20]”
From Evolution of Gestational Diabetes Mellitus across Continents in 21st Century (2022) · cites this paper as [20]
Section 2 (Prevalence; page unavailable) reports that almost 41,000 Australian women were diagnosed with GDM in 2019, one fifth with a repeat diagnosis. This supports the approximate 2019 figure and the repeat-diagnosis proportion, but our copy does not give the exact figure of 40,848 or the claimed 14,225 cases in 2010. (LLM, conf=0.86)
Experimental — accuracy not yet measuredChanges in gestational diabetes mellitus diagnostic criteria, rising rates of obesity and overweight, ethnic diversity, and increasing maternal age contributed to the increase in gestational diabetes mellitus in Australia.
“The scientists believed that a few things contributed to this situation: changes in the criteria of a GDM diagnosis, rising rates of obesity and overweight, diversity of ethnicity, and increasing maternal age [20].”
From Evolution of Gestational Diabetes Mellitus across Continents in 21st Century (2022) · cites this paper as [20]
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Cites
Effect of Treatment of Gestational Diabetes Mellitus on Pregnancy Outcomes
Crowther, C. A., Hiller, J. E., Moss, J. R., McPhee, A. J., Jeffries, W. S., & Robinson, J. S. (2005) · New England Journal of Medicine · doi:10.1056/nejmoa042973 · Cited by 3,159 · see citing works
A Multicenter, Randomized Trial of Treatment for Mild Gestational Diabetes
Landon, M. B., Spong, C. Y., Thom, E., Carpenter, M. W., Ramin, S. M., Casey, B., Wapner, R. J., Varner, M. W., Rouse, D. J., Thorp, J. M., et al. (2009) · New England Journal of Medicine · doi:10.1056/nejmoa0902430 · Cited by 2,122 · cited 1× · see citing works
“The aim of introducing more widespread testing and uniform criteria for GDM was to improve maternal and foetal outcomes, as suggested by the landmark Crowther [3] and Landon [4] randomized controlled trials (RCTs).”
BackgroundMetzger, 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
Gestational diabetes mellitus: Challenges for different ethnic groups
Yuen, L. (2015) · World Journal of Diabetes · doi:10.4239/wjd.v6.i8.1024 · Cited by 176 · see citing works
McIntyre, H. D., Gibbons, K. S., Ma, R. C. W., Tam, W. H., Sacks, D. A., Lowe, J., Madsen, L. R., & Catalano, P. M. (2020) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2020.108353 · Cited by 81 · see citing works
van Gemert, T. E., Moses, R. G., Pape, A. V., & Morris, G. J. (2020) · Australian and New Zealand Journal of Obstetrics and Gynaecology · doi:10.1111/ajo.13203 · Cited by 40 · see citing works
Brown, J., Kapurubandara, S., & McGee, T. M. (2020) · Australian and New Zealand Journal of Obstetrics and Gynaecology · doi:10.1111/ajo.13077 · Cited by 16 · see citing works
Flagged first, then by citations
Research works printed but not linked: 25
- [1]WHO, World Health Organization Diagnostic Criteria and Classification of Hyperglycaemia First Detected in Pregnancy WHO Press Geneva, Switzerland 2013 24199271
- [2]Martin F.I.R. Clague A. Dargaville R. Ericksen C. Oats J. Tippett C. The Diagnosis of Gestational Diabetes Med. J. Aust. 1991 155 10.5694/j.1326-5377.1991.tb142140.x 1857286 · DOI
- [5]Hod M. Kapur A. McIntyre H.D. FIGO Working Group on Hyperglycemia in Pregnancy FIGO Pregnancy and Prevention of Early NCD Committee Evidence in support of the International Association of Diabetes in Pregnancy study groups’ criteria for diagnosing gestational diabetes mellitus worldwide in 2019 Am. J. Obstet. Gynecol. 2019 221 109 116 10.1016/j.ajog.2019.01.206 30682358 · DOI
- [6]McIntyre H.D. Moses R.G. The Diagnosis and Management of Gestational Diabetes Mellitus in the Context of the COVID-19 Pandemic Diabetes Care 2020 43 1433 1434 10.2337/dci20-0026 32409503 · DOI
- [11]Brown F.M. Wyckoff J. Application of One-Step IADPSG Versus Two-Step Diagnostic Criteria for Gestational Diabetes in the Real World: Impact on Health Services, Clinical Care, and Outcomes Curr. Diab. Rep. 2017 17 10.1007/s11892-017-0922-z PMC5552830 28799123 · DOI · Paper page
- [12]Cheney K. Farber R. Barratt A.L. McGeechan K. de Vries B. Ogle R. Black K.I. Population attributable fractions of perinatal outcomes for nulliparous women associated with overweight and obesity, 1990–2014 Med. J. Aust. 2018 208 119 125 10.5694/mja17.00344 29438637 · DOI
- [14]Nankervis A. McIntyre H.D. Moses R.G. Ross G.P. Callaway L.K. Testing for gestational diabetes mellitus in Australia Diabetes Care 2013 36 10.2337/dc12-2345 PMC3631863 23613605 · DOI
- [15]Meloncelli N. Barnett A. Pelly F. de Jersey S. Diagnosis and management practices for gestational diabetes mellitus in Australia: Cross-sectional survey of the multidisciplinary team Aust. N. Z. J. Obstet. Gynaecol. 2019 59 208 214 10.1111/ajo.12816 29667703 · DOI
- [17]Moses R.G. Wong V.C. Lambert K. Morris G.J. San Gil F. The prevalence of hyperglycaemia in pregnancy in Australia Aust. N. Z. J. Obstet. Gynaecol. 2016 56 10.1111/ajo.12447 26914693 · DOI
- [18]Sexton H. Heal C. Banks J. Braniff K. Impact of new diagnostic criteria for gestational diabetes J. Obstet. Gynaecol. Res. 2018 44 425 431 10.1111/jog.13544 29323444 · DOI
- [19]Cade T.J. Polyakov A. Brennecke S.P. Implications of the introduction of new criteria for the diagnosis of gestational diabetes: A health outcome and cost of care analysis BMJ Open 2019 9 10.1136/bmjopen-2018-023293 PMC6326329 30612109 · DOI
- [20]Cheung N.W. Jiang S. Athayde N. Impact of the IADPSG criteria for gestational diabetes, and of obesity, on pregnancy outcomes Aust. N. Z. J. Obstet. Gynaecol. 2018 58 553 559 10.1111/ajo.12772 29359312 · DOI
- [21]Wong V.W. Lin A. Russell H. Adopting the new World Health Organization diagnostic criteria for gestational diabetes: How the prevalence changes in a high-risk region in Australia Diabetes Res. Clin. Pract. 2017 129 148 153 10.1016/j.diabres.2017.04.018 28528075 · DOI
- [22]Meloncelli N.J.L. Barnett A.G. D’Emden M. De Jersey S.J. Effects of Changing Diagnostic Criteria for Gestational Diabetes Mellitus in Queensland, Australia Obstet. Gynecol. 2020 135 1215 1221 10.1097/AOG.0000000000003790 32282588 · DOI
- [23]Maple-Brown L. Lee I.L. Longmore D. Barzi F. Connors C. Boyle J.A. Moore E. Whitbread C. Kirkwood M. Graham S. Pregnancy And Neonatal Diabetes Outcomes in Remote Australia: The PANDORA study-an observational birth cohort Int. J. Epidemiol. 2019 48 307 318 10.1093/ije/dyy245 30508095 · DOI · Paper page
- [25]Jamieson E.L. Spry E.P. Kirke A.B. Atkinson D.N. Marley J.V. Real-World Gestational Diabetes Screening: Problems with the Oral Glucose Tolerance Test in Rural and Remote Australia Int. J. Environ. Res. Public Health 2019 16 4488 10.3390/ijerph16224488 PMC6888052 31739513 · DOI · Paper page
- [26]Potter J.M. Hickman P.E. Oakman C. Woods C. Nolan C.J. Strict Preanalytical Oral Glucose Tolerance Test Blood Sample Handling Is Essential for Diagnosing Gestational Diabetes Mellitus Diabetes Care 2020 43 1438 1441 10.2337/dc20-0304 32350020 PMC7305001 · DOI · Paper page
- [27]Sina M. Cade T.J. Flack J. Nolan C.J. Rajagopal R. Wong V. Burcher L. Barry A. Gianatti E. McCarthy A. Antenatal models of care for women with gestational diabetes mellitus: Vignettes from an international meeting Aust. N. Z. J. Obstet. Gynaecol. 2020 60 720 728 10.1111/ajo.13144 32157686 · DOI
- [28]Carolan-Olah M. Steele C. Krenzin G. Development and initial testing of a GDM information website for multi-ethnic women with GDM BMC Pregnancy Childbirth 2015 15 10.1186/s12884-015-0578-0 26142482 PMC4491240 · DOI
- [29]Wan C.S. Teede H. Nankervis A. Aroni R. Ethnic Differences in Dietary Management of Gestational Diabetes Mellitus: A Mixed Methods Study Comparing Ethnic Chinese Immigrants and Australian Women J. Acad. Nutr. Diet. 2020 120 86 102 10.1016/j.jand.2019.08.019 31718911 · DOI
- [31]Barnes R.A. Ross G.P. Jalaludin B.B. Flack J.R. Initial group dietary education compared to individual education in gestational diabetes mellitus management: Do outcomes differ? Diabetes Res. Clin. Pract. 2018 140 88 96 10.1016/j.diabres.2018.03.039 29605560 · DOI
- [32]Maple-Brown L.J. Lindenmayer G. Barzi F. Whitbread C. Connors C. Moore E. Boyle J. Kirkwood M. Lee I.L. Longmore D. Real-world experience of metformin use in pregnancy: Observational data from the Northern Territory Diabetes in Pregnancy Clinical Register J. Diabetes 2019 11 761 770 10.1111/1753-0407.12905 30680949 · DOI
- [36]Green A. Callaway L. McIntyre H.D. Mitchell B. Diagnosing and providing initial management for patients with Gestational Diabetes: What is the General Practitioner’s experience? Diabetes Res. Clin. Pract. 2020 166 10.1016/j.diabres.2020.108290 32615279 · DOI
- [37]Wilkinson S.A. Lim S.S. Upham S. Pennington A. O’Reilly S.L. Asproloupos D. McIntyre H.D. Dunbar J.A. Who’s responsible for the care of women during and after a pregnancy affected by gestational diabetes? Med. J. Aust. 2014 201 S78 S81 10.5694/mja14.00251 25047889 · DOI
- [38]Kirkham R. Trap-Jensen N. Boyle J.A. Barzi F. Barr E.L.M. Whitbread C. Van Dokkum P. Kirkwood M. Connors C. Moore E. Diabetes care in remote Australia: The antenatal, postpartum and inter-pregnancy period BMC Pregnancy Childbirth 2019 19 10.1186/s12884-019-2562-6 31660892 PMC6819653 · DOI
Cited by
Sorted by citations
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
“The scientists believed that a few things contributed to this situation: changes in the criteria of a GDM diagnosis, rising rates of obesity and overweight, diversity of ethnicity, and increasing maternal age [20].”
Background
- Authors
- Laurie, J. G., & McIntyre, H. D.
- Affiliations
- The University of Queensland (AU)
- Department of Obstetric Medicine, Mater Mothers’ Hospital Brisbane, Queensland and Mater Research Institute, The University of Queensland, South Brisbane, QLD 4101, Australia
- Corresponding author
- Laurie, Josephine G
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2020-12-15
- Volume
- 17
- Issue
- 24
- Pages
- 9387
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC7765268
- OpenAlex
- W3110977465
- Cited by
- 65
- References
- 7
- Citations by year
- 2026: 9 · 2025: 13 · 2024: 10 · 2023: 15 · 2022: 15 · 2021: 3
- FWCI
- 0.98
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- 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 trends, diagnostic criteria revision, screening criteria, maternal obesity, maternal overweight, advanced maternal age, ethnic diversity, demographics, models of care, remote communities, COVID-19 pandemic, Australia
- MeSH terms
- COVID-19, Australia, Female, Humans, Pregnancy, Prevalence, Diabetes, Gestational
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