Prevalence of gestational diabetes mellitus in a Suburban District in Sri Lanka: A population-based study
Open accessAbstract
Introduction: GDM is a leading metabolic cause of morbidity to mother and offspring. Determining its prevalence is important for health planning and implementation. Objective: Assess prevalence of GDM in the District of Gampaha. Method: Community based cross-sectional study was conducted in women attending field-based ante-natal clinics in two Medical Officer of Health (MOH) areas between January 2014 to March 2015. Consecutive women were recruited by cluster sampling with probability proportionate to size using strict exclusion criteria. GDM diagnosis was based on fasting 75 g OGTT, WHO 1999. All responders underwent 2 hr PPBS in first trimester- >200 mg/dl with symptoms identified as abnormal, probably diabetes in pregnancy (DIP); those >120 and <200 mg/dl proceeded to OGTT before 16 weeks POA; all negatives were tested by OGTT between 24-28 weeks. Negatives for GDM at 24-28 weeks underwent OGTT between 32-36 weeks; venous plasma glucose tested by accredited laboratory. Results: Sample consistedof 160, non-response 4.2% (67); 1533 underwent 2 hr PPBS with 40 exceeding 120mg: 4 >200 mg diagnosed as GDM / DIP, 36 (PPBS >120 < 200 mg) underwent OGTT before 16 weeks with 15 GDM. One hundred and thirty four (8.38%) miscarried including one with early abnormal OGTT. Of 1381 eligible for OGTT (24- 28 weeks) 150 had GDM (10.86%). Only 344 (27.94% of normal 1231) consented for third trimester OGTT, of whom 25 had GDM- yielding a total of 194 with GDM (13.9%). Conclusions: The current community prevalence of GDM in the suburban Gampaha District, Sri Lanka is high.
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In Sri Lanka, a cross-sectional study between January 2014 and March 2015 using fasting 75 g OGTT according to WHO 1999 found positive results in 13.9% of participants.
“Positive results were noted in 13.9% of the participants [217].”
From Evolution of Gestational Diabetes Mellitus across Continents in 21st Century (2022) · cites this paper as [217]
Cites
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 · cited 1× · see citing works
“Women with GDM have a high risk of developing type 2 diabetes (DM) within five years postpartum with a doubling of the risk after the first five years [4].”
BackgroundLeng, J., Shao, P., Zhang, C., Tian, H., Zhang, F., Zhang, S., Dong, L., Li, L., Yu, Z., Chan, J. C. N., et al. (2015) · PLoS ONE · doi:10.1371/journal.pone.0121029 · Cited by 281 · cited 1× · see citing works
“However, an increasing prevalence is noted throughout the world [9-11].”
BackgroundMetabolic Syndrome Risk after Gestational Diabetes: A Systematic Review and Meta-Analysis
Xu, Y., Shen, S., Sun, L., Yang, H., Jin, B., & Cao, X. (2014) · PLoS ONE · doi:10.1371/journal.pone.0087863 · Cited by 163 · cited 1× · see citing works
“After delivery, women with GDM often have an increased risk of developing metabolic syndrome, which is also seen in South Asian women [1, 6-8].”
BackgroundGestational Diabetes: Pathogenesis and Consequences to Mother and Offspring
Kaaja, R., & Rönnemaa, T. (2008) · The Review of Diabetic Studies · doi:10.1900/rds.2008.5.194 · Cited by 145 · cited 5× · see citing works
“Pregnancies complicated by GDM have higher rates of caesarean sections and induced deliveries, with approximately 10-30% developing pre-eclampsia [1].”
BackgroundInfluentialGestational diabetes mellitus: All Asians are not alike
Chu, S. Y., Abe, K., Hall, L. R., Kim, S. Y., Njoroge, T., & Qin, C. (2009) · Preventive Medicine · doi:10.1016/j.ypmed.2009.07.001 · Cited by 120 · cited 1× · see citing works
“However, an increasing prevalence is noted throughout the world [9-11].”
BackgroundThe influence of maternal BMI and gestational diabetes on pregnancy outcome
Martin, K. E., Grivell, R. M., Yelland, L. N., & Dodd, J. M. (2015) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2014.12.015 · Cited by 95 · cited 1× · see citing works
“Several studies have identified increasing maternal BMI as a significant risk factor for GDM [24-26].”
BackgroundSocio-demographic Risk Factors of Gestational Diabetes Mellitus
Khan, R., Ali, K., & Khan, Z. (2013) · Pakistan Journal of Medical Sciences · doi:10.12669/pjms.293.3629 · Cited by 63 · cited 1× · see citing works
“history of diabetes mellitus and age 335 years were found to be independent risk factors for GDM in other studies [27-29].”
BackgroundMahalakshmi, M., Bhavadharini, B., Kumar, M., Anjana, R., Shah, S., Bridgette, A., Choudhury, M., Henderson, M., Desborough, L., Viswanathan, M., et al. (2014) · Indian journal of endocrinology and metabolism · doi:10.4103/2230-8210.131205 · Cited by 56 · cited 1× · see citing works
“In South India, the reported incidence of postpartum DM among women with history of previous GDM is even higher within the first five years with over 90% being affected within 10 years of delivery [5].”
BackgroundChamberlain, C., Joshy, G., Li, H., Oats, J., Eades, S., & Banks, E. (2015) · Diabetes/Metabolism Research Reviews · doi:10.1002/dmrr.2570 · Cited by 30 · cited 1× · see citing works
“However, an increasing prevalence is noted throughout the world [9-11].”
BackgroundWijeyaratne, C., Waduge, R., Arandara, D., Arasalingam, A., Sivasuriam, A., Dodampahala, S. H., & Balen, A. (2006) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2006.01046.x · Cited by 27 · cited 1× · see citing works
“After delivery, women with GDM often have an increased risk of developing metabolic syndrome, which is also seen in South Asian women [1, 6-8].”
BackgroundSelf-citationFrequency of gestational diabetes mellitus and the associated risk factors
Duman, N. B. (2014) · Pakistan Journal of Medical Sciences · doi:10.12669/pjms.311.5617 · Cited by 26 · cited 1× · see citing works
“history of diabetes mellitus and age 335 years were found to be independent risk factors for GDM in other studies [27-29].”
BackgroundBarquiel, B., Herranz, L., Hillman, N., Burgos, M. Á., & Pallardo, L. F. (2014) · Metabolic Syndrome and Related Disorders · doi:10.1089/met.2013.0153 · Cited by 15 · cited 1× · see citing works
“After delivery, women with GDM often have an increased risk of developing metabolic syndrome, which is also seen in South Asian women [1, 6-8].”
BackgroundIncrease in body mass index during pregnancy and risk of gestational diabetes
Padmanabhan, S., Wagstaff, A., Tung, V., Chan, Y. F., Bartlett, A., & Lau, S. M. (2014) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2014.09.031 · Cited by 7 · cited 1× · see citing works
“Several studies have identified increasing maternal BMI as a significant risk factor for GDM [24-26].”
Background
Flagged first, then by citations
7 of the 21 references couldn’t be matched to a known paper.
Cited by
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Lee, K. W., Ching, S. M., Ramachandran, V., Yee, A., Hoo, F. K., Chia, Y. C., Wan Sulaiman, W. A., Suppiah, S., Mohamed, M. H., & Veettil, S. K. (2018) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-018-2131-4 · Cited by 546 · see citing works
Behboudi-Gandevani, S., Amiri, M., Bidhendi Yarandi, R., & Ramezani Tehrani, F. (2019) · Diabetology & Metabolic Syndrome · doi:10.1186/s13098-019-0406-1 · Cited by 321 · see citing works
Mooi, C. S. (2018) · Primary Health Care Open Access · doi:10.4172/2167-1079-c5-028 · Cited by 46 · see citing works
Sudasinghe, S. P. B. H., Wijeyaratne, C. N., & Ginige, P. S. (2018) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2018.04.013 · Cited by 44 · see citing works
Self-citationEvolution 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
Tewari, A., Praveen, D., Madhira, P., Lakshmi, J. K., Joshi, R., Kokku, S. B., Garg, V., Rawal, I., Chopra, K., Chakma, N., et al. (2020) · Frontiers in Global Women s Health · doi:10.3389/fgwh.2020.587607 · Cited by 14 · see citing works
“9% in Sri Lanka (4) to 25% in India (5–7), and is increasing, especially in developing countries (2).”
BackgroundIntermediate hyperglycemia in early pregnancy: A South Asian perspective
Punnose, J., Sukhija, K., & Rijhwani, R. M. (2023) · World Journal of Diabetes · doi:10.4239/wjd.v14.i5.573 · Cited by 13 · see citing works
Damiri, B., Abumohsen, H., Belkebir, S., Hamdan, M., Saudi, L., Hindi, H., Abdaldaem, R., Bustami, B., Almusleh, A., & Yasin, O. (2024) · PLoS ONE · doi:10.1371/journal.pone.0301145 · Cited by 9 · see citing works
Dias, T., Siraj, S. H. M., Aris, I. M., Li, L.-J., & Tan, K. H. (2018) · Frontiers in Endocrinology · doi:10.3389/fendo.2018.00682 · Cited by 9 · see citing works
Kandauda, C., & Wanasinghe, W. M. M. P. B. (2020) · Advances in Reproductive Sciences · doi:10.4236/arsci.2020.83013 · Cited by 4 · see citing works
Wimalajeewa, Y. D., & Hettiaratchi, U. P. K. (2021) · Journal of Health Sciences and Innovative Research · doi:10.31357/jhsir.v2i01.5420 · Cited by 4 · see citing works
“Also, the rate of GDM has increased in Sri Lanka [5].”
BackgroundGodevithana, J., & Wijesinghe, C. J. (2024) · Scientific Reports · doi:10.1038/s41598-024-76863-3 · Cited by 2 · see citing works
“Sri Lanka, too shows an increasing trend in the prevalence of GDM, where a recent community-based study has shown a prevalence of 13.9% 6 .”
BackgroundInfluentialSundarapperuma, T., Wasalathanthri, S., Wijesinghe, C. J., & Hettiarachchi, P. (2022) · Asian Journal of Medical Sciences · doi:10.3126/ajms.v13i5.41342 · Cited by 2 · see citing works
Guruparan, K., Raghavan, P., & Guruparan, Y. (2025) · Cureus · doi:10.7759/cureus.91727 · Cited by 1 · see citing works
Wimalajeewa, Y. D., Hettiaratchi, U. P. K., Amarasekara, T. D., Prathapan, S., & Jayawardane, M. A. M. M. (2023) · Journal of Biosciences and Medicines · doi:10.4236/jbm.2023.114016 · Cited by 1 · see citing works
Sundarapperuma, T., Hettiarachchi, P., Wasalathanthri, S., & Wijesinghe, C. J. (2024) · Scientific Reports · doi:10.1038/s41598-024-71587-w · Cited by 1 · see citing works
Wimalajeewa, Y. D., Hettiaratchi, U. P. K., Amarasekara, T. D., Prathapan, S., & Jayawardane, M. (2025) · Nutrition and Health · doi:10.1177/02601060251348690 · Cited by 2 · see citing works
“(Ginige, 2004; Sudasinghe et al., 2016).”
Tabrang, H., Jusuf, E. C., & Sanusi, H. D. (2020) · Enfermería Clínica · doi:10.1016/j.enfcli.2019.07.038 · Cited by 1 · see citing works
Ravali, Sravani, B. V. S., & Kumar, P. (2017) · Research in Pharmacy and Health Sciences · doi:10.32463/rphs.2017.v03i04.21
“In India, the prevalence ranges from 6% to 9% in rural and 12 – 21% in urban regions, with most studies being done in either South or North India [6].”
BackgroundAmarawardena, M., Silva, N. D., Weerasena, L., Jeyashree, K., Mahanama, S., Udesh, T., Selvaratnam, K., & Silva, P. (2022) · Research Square · doi:10.21203/rs.3.rs-1426733/v1
Chandana, G. J., & Wijesinghe, C. J. (2023) · Research Square · doi:10.21203/rs.3.rs-2336504/v1
Association between Anthropometry and Gestational Diabetes Mellitus
Bodhinarayana, T. N., & Karunarathne, M. (2023) · Open Journal of Obstetrics and Gynecology · doi:10.4236/ojog.2023.133050
- Authors
- Sudasinghe, B. H., Ginige, P. S., & Wijeyaratne, C. N.
- Affiliations
- University of Colombo (LK)
- Venue
- Ceylon Medical Journal
- Publisher
- Sri Lanka Journals Online (JOL)
- Published
- 2016-12-30
- Volume
- 61
- Issue
- 4
- Pages
- 149
- ISSN
- 0009-0875 (ISSN-L)
- 2386-1274
- OpenAlex
- W2565609602
- Cited by
- 22
- References
- 21
- Citations by year
- 2025: 2 · 2024: 3 · 2023: 4 · 2022: 3 · 2021: 1 · 2020: 3 · 2019: 1 · 2018: 4 · 2017: 1
- FWCI
- 2.58
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by
- Locations
- Ceylon Medical Journal (publishedVersion, cc-by)
- 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 › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Keywords
- gestational diabetes mellitus, prevalence, Sri Lanka, Gampaha District, oral glucose tolerance test, first-trimester screening, third-trimester screening, miscarriage, diabetes in pregnancy, prenatal care
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