Cited by 13Gestational Diabetes Research and ManagementDiabetes, Cardiovascular Risks, and LipoproteinsDiabetes Management and Research

Prevalence of Gestational Diabetes Mellitus Using the Latest World Health Organization Diagnostic Criteria among Omani Women in Muscat, Oman

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Al Subhi, Saada K., Al Kindi, Rahma M., Al Rawahi, Abdul Hakim, Al Seyabi, Iman S. Al Seyabi, Al Mukhaini, Ameena Al Mukhaini·2021·Oman Medical Journal

Abstract

Objectives: In 2013, the World Health Organization (WHO) recommended new criteria for diagnosing gestational diabetes mellitus (GDM). Our study aimed to compare the incidence of GDM and its complications among Omani pregnant women using the new diagnostic criteria compared to previous criteria published in 1999. Methods: This retrospective cohort study was conducted between January and December 2016 at the Bawshar Specialized Polyclinic in Muscat, Oman. A total of 613 Omani women were included in the study. Baseline maternal characteristics such as age, body mass index, parity, and socioeconomic status were recorded in addition to maternal and neonatal outcomes. Results: Based on the current diagnostic criteria, the incidence of GDM was 48.5% (n = 297); however, this dropped to 26.4% (n = 162) when applying the old criteria. Moreover, rates of maternal complications including polyhydramnios (5.6% vs. 4.6%), pregnancy-induced hypertension (3.2% vs. 1.5%), and preterm delivery (3.2% vs. 1.5%) were slightly higher among women with GDM diagnosed using the latest criteria. However, these differences were not statistically significant. Neonatal complications were also slightly more frequent among the first group, without any significant differences. Conclusions: The incidence of GDM among Omani women rose dramatically when utilizing the latest WHO diagnostic criteria, owing to a lower fasting blood glucose cut-off value. In addition, a comparison of the frequencies of maternal and neonatal complications supports the validity of the new criteria. These findings should be taken into consideration by decision-makers in Oman when planning antenatal and postnatal services.

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  • In the same Omani study, GDM incidence dropped to 26.4% when applying new WHO criteria.

    “It dropped to 26.4% when applying the new WHO criteria [232].”

    From Evolution of Gestational Diabetes Mellitus across Continents in 21st Century (2022) · cites this paper as [232]

    The Results and Discussion state the opposite: GDM incidence was 48.5% under the new WHO criteria and 26.4% under the old criteria. Applying the new criteria increased, rather than decreased, the reported incidence. (LLM, conf=0.95)

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  • In 2013 Oman introduced new criteria to detect GDM.

    “In 2013 Oman introduced new criteria to detect GDM.”

    From Evolution of Gestational Diabetes Mellitus across Continents in 21st Century (2022) · cites this paper as [232]

    The Introduction says Oman adopted its new national GDM protocol in March 2015, not 2013. The protocol was based on the 2013 WHO criteria; 2013 dates the WHO criteria, not their introduction in Oman. No page number is supplied in our copy. (LLM, conf=0.90)

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  • In a study of 613 Omani women using current diagnostic criteria, GDM incidence was 48.5%.

    “A total of 613 Omani women took part in a study conducted by Subshi et al., which was based on the current diagnostic criteria, and the incidence of GDM was 48.5%.”

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  1. [1]Buchanan TA Xiang A Kjos SL Watanabe R What is gestational diabetes? Diabetes Care 2007 Jul; 30(Suppl 2): S105- S111. 10.2337/dc07-s201 17596457 · DOI · Paper page
  2. [2]England LJ Dietz PM Njoroge T Callaghan WM Bruce C Buus RM Preventing type 2 diabetes: public health implications for women with a history of gestational diabetes mellitus. Am J Obstet Gynecol 2009 Apr; 200(4): 365.e1- 365.e8. 10.1016/j.ajog.2008.06.031 18691691 · DOI
  3. [3]American Diabetes Association Gestational diabetes mellitus. Diabetes Care 2004 Jan; 27(Suppl 1): S88- S90. 10.2337/diacare.27.2007.S88 14693936 · DOI · Paper page
  4. [4]Hill JC Krishnaveni GV Annamma I Leary SD Fall CH Glucose tolerance in pregnancy in South India: relationships to neonatal anthropometry. Acta Obstet Gynecol Scand 2005 Feb; 84(2): 159- 165. 10.1111/j.0001-6349.2005.00670.x 15683377 · DOI
  5. [5]Yang H Wei Y Gao X Xu X Fan L He J China National GDM Survey Working Group Risk factors for gestational diabetes mellitus in Chinese women: a prospective study of 16,286 pregnant women in China. Diabet Med 2009 Nov; 26(11): 1099- 1104. 10.1111/j.1464-5491.2009.02845.x 19929987 · DOI
  6. [6]National Collaborating Centre for Women’s and Children’s Health (UK). Diabetes in pregnancy: management of diabetes and its complications from preconception to the postnatal period. Clinical guideline No. 3. London: National Institute for Health and Care Excellence (UK); 2015 [2020 March 6]. Available from: https://www.nice.org.uk/guidance/ng3/resources/diabetes-in-pregnancy-management-from-preconception-to-the-postnatal-period-pdf-51038446021. 25950069
  7. [7]Chanprapaph P Sutjarit C Prevalence of gestational diabetes mellitus (GDM) in women screened by glucose challenge test (GCT) at Maharaj Nakorn Chiang Mai Hospital. J Med Assoc Thai 2004 Oct; 87(10): 1141- 1146. 15560687
  8. [8]Committee opinion no. 504: Screening and diagnosis of gestational diabetes mellitus. Obstet Gynecol 2011 Sep; 118(3): 751- 753. 10.1097/AOG.0b013e3182310cc3 21860317 · DOI
  9. [9]Basha A Fram K Thekrallah F Irshaid Z Maswady A Obeidat Z Prevalence of gestational diabetes and contributing factors among pregnant Jordanian women attending Jordan University Hospital. Int J Diabetes Dev Ctries 2019 Jan; 39(1): 132- 138. 10.1007/s13410-018-0635-0 · DOI · Paper page
  10. [10]Metzger BE Gabbe SG Persson B Buchanan TA Catalano PA Damm P International Association of Diabetes and Pregnancy Study Groups Consensus Panel International association of diabetes and pregnancy study groups recommendations on the diagnosis and classification of hyperglycemia in pregnancy. Diabetes Care 2010 Mar; 33(3): 676- 682. 10.2337/dc09-1848 20190296 PMC2827530 · DOI · Paper page
  11. [11]Metzger BE Lowe LP Dyer AR Trimble ER Chaovarindr U Coustan DR HAPO Study Cooperative Research Group Hyperglycemia and adverse pregnancy outcomes. N Engl J Med 2008 May; 358(19): 1991- 2002. 10.1056/NEJMoa0707943 18463375 · DOI · Paper page
  12. [12]American Diabetes Association Standards of medical care in diabetes–2014. Diabetes Care 2014 Jan; 37(Suppl 1): S14- S80. 10.2337/dc14-S014 24357209 · DOI · Paper page
  13. [13]Blumer I Hadar E Hadden DR Jovanovič L Mestman JH Murad MH Diabetes and pregnancy: an endocrine society clinical practice guideline. J Clin Endocrinol Metab 2013 Nov; 98(11): 4227- 4249. 10.1210/jc.2013-2465 24194617 PMC8998095 · DOI · Paper page
  14. [14]World Health Organization. Diagnostic criteria and classification of hyperglycaemia first detected in pregnancy. WHO/NMH/MND/13.2. Geneva: World Health Organization; 2013 [2020 March 6]. Available from: https://apps.who.int/iris/bitstream/handle/10665/85975/WHO_NMH_MND_13.2_eng.pdf;jsessionid=4782260926399382732EF4424743CD19?sequence=1. 24199271
  15. [15]Hod M Kapur A Sacks DA Hadar E Agarwal M Di Renzo GC The International Federation of Gynecology and Obstetrics (FIGO) initiative on gestational diabetes mellitus: a pragmatic guide for diagnosis, management, and care. Int J Gynaecol Obstet 2015 Oct; 131(Suppl 3): S173- S211. 10.1016/S0020-7292(15)30033-3 29644654 · DOI · Paper page
  16. [16]Vandorsten JP Dodson WC Espeland MA Grobman WA Guise JM Mercer BM NIH consensus development conference: diagnosing gestational diabetes mellitus. NIH Consens State Sci Statements 2013 Mar; 29(1): 1- 31. 23748438
  17. [18]Danaei G Finucane MM Lu Y Singh GM Cowan MJ Paciorek CJ Global Burden of Metabolic Risk Factors of Chronic Diseases Collaborating Group (Blood Glucose) National, regional, and global trends in fasting plasma glucose and diabetes prevalence since 1980: systematic analysis of health examination surveys and epidemiological studies with 370 country-years and 2·7 million participants. Lancet 2011 Jul; 378(9785): 31- 40. 10.1016/S0140-6736(11)60679-X 21705069 · DOI · Paper page
  18. [19]International Diabetes Federation. IDF Diabetes Atlas. Fourth edition. Brussels: International Diabetes Federation 2009 [2020 March 6]. Available from: www.eatlas.idf.org.
  19. [20]Bashir M E Abdel-Rahman M Aboulfotouh M Eltaher F Omar K Babarinsa I Prevalence of newly detected diabetes in pregnancy in Qatar, using universal screening. PLoS One 2018 Aug; 13(8): e0201247. 10.1371/journal.pone.0201247 30074993 PMC6075760 · DOI
  20. [21]Alfadhli EM Osman EN Basri TH Mansuri NS Youssef MH Assaaedi SA Gestational diabetes among Saudi women: prevalence, risk factors and pregnancy outcomes. Ann Saudi Med 2015 May-Jun; 35(3): 222- 230. 10.5144/0256-4947.2015.222 26409797 PMC6074454 · DOI
  21. [22]Musaiger AO Al-Mannai MA Weight, height, body mass index and prevalence of obesity among the adult population in Bahrain. Ann Hum Biol 2001 May-Jun; 28(3): 346- 350. 10.1080/030144601300119151 11393341 · DOI
  22. [23]Al-Lawati JA Jousilahti PJ Prevalence and 10-year secular trend of obesity in Oman. Saudi Med J 2004 Mar; 25(3): 346- 351. 15048174
  23. [24]Al-Hazzaa HM Rising trends in BMI of Saudi adolescents: evidence from three national cross sectional studies. Asia Pac J Clin Nutr 2007; 16(3): 462- 466. 17704028
  24. [25]Oman Ministry of Health. Pregnancy and Childbirth Management Guidelines. Level – 1. A guide for nurses, midwives and doctors. Second Edition. Department of Women and Child Health Care, Directorate General of Primary Health Care. Muscat: Oman Ministry of Health. 2016. p. 34-41.
  25. [28]Duran A Sáenz S Torrejón MJ Bordiú E Del Valle L Galindo M Introduction of IADPSG criteria for the screening and diagnosis of gestational diabetes mellitus results in improved pregnancy outcomes at a lower cost in a large cohort of pregnant women: the St. Carlos Gestational Diabetes Study. Diabetes Care 2014 Sep; 37(9): 2442- 2450. 10.2337/dc14-0179 24947793 · DOI · Paper page
  26. [29]Barakat MN Youssef RM Al-Lawati JA Pregnancy outcomes of diabetic women: charting Oman’s progress towards the goals of the Saint Vincent Declaration. Ann Saudi Med 2010 Jul-Aug; 30(4): 265- 270. 10.4103/0256-4947.65253 20622342 PMC2931776 · DOI
  27. [30]Abu-Heija AT Al-Bash M Mathew M Gestational and Pregestational Diabetes Mellitus in Omani Women: Comparison of obstetric and perinatal outcomes. Sultan Qaboos Univ Med J 2015 Nov; 15(4): e496- e500. 10.18295/squmj.2015.15.04.009 26629376 PMC4664094 · DOI
  28. [31]Gasim T Gestational diabetes mellitus: maternal and perinatal outcomes in 220 saudi women. Oman Med J 2012 Mar; 27(2): 140- 144. 10.5001/omj.2012.29 22496940 PMC3321340 · DOI
  29. [32]Srichumchit S Luewan S Tongsong T Outcomes of pregnancy with gestational diabetes mellitus. Int J Gynaecol Obstet 2015 Dec; 131(3): 251- 254. 10.1016/j.ijgo.2015.05.033 26372349 · DOI
  30. [33]Al-Hakeem MM Pregnancy outcome of gestational diabetic mothers: experience in a tertiary center. J Family Community Med 2006 May; 13(2): 55- 59. 23012105 PMC3410064

Cited by

Sorted by citations

Authors
Al Subhi, S. K., Al Kindi, R. M., Al Rawahi, A. H., Al Seyabi, I. S. A. S., & Al Mukhaini, A. A. M.
Venue
Oman Medical Journal
Published
2021-01-10
Volume
36
Issue
1
Pages
e215-e215
ISSN
  • 1999-768X (ISSN-L)
  • 2070-5204
OpenAlex
W3119537251
Cited by
13
References
0
Citations by year
2026: 2 · 2025: 1 · 2024: 1 · 2023: 4 · 2022: 5
FWCI
2.27
Type
journal article
Language
en
Open access
Licence
cc-by-nc
Locations
  • Oman Medical Journal (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • 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, WHO diagnostic criteria, GDM prevalence, diagnostic criteria comparison, maternal complications, neonatal complications, polyhydramnios, gestational hypertension, preterm birth, Omani women, Muscat

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