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Level of implementation of guidelines on screening and diagnosis of gestational diabetes: A national survey

  • Item type: Scientific article
  • Language: English
  • Author: Basilio Pintaudi et al.
  • Publication Date: Jan, 2016
  • Pintaudi(363.29 KB)

Aims:

To describe the degree of diffusion and acceptance of national guideline on screening and diagnosis of gestational diabetes (GDM) among Italian diabetes centers and to detect possible areas for benchmarking.

Methods:

In 2013 the Italian Diabetes in Pregnancy Study Group structured a national survey, focused on GDM screening and diagnostic procedures, that was administered to

diabetologists.

Results: 

Overall, 122 diabetologists of 122 different diabetes centers (21.7% territorial, 78.3% hospital/University) completed the questionnaire. All respondents declared to execute a 75 g-oral glucose tolerance test (OGTT) as diagnostic test. Almost one in five centers preferred a universal screening procedure, the others executing a selective risk factors based screening. In patients at high risk for GDM the OGTT was performed at 16–18 weeks’ gestation in 84.0% of the cases; only 6.5% of respondents preferred to execute it as soon as possible; and 9.5% used to wait until 24–28 weeks’ gestation. In the case of fasting plasma glucose (FPG) 5.1 mmol/l (92 mg/dl), two third of respondents used to proceed with the execution of the complete diagnostic OGTT, the others considering sufficient the FPG value for the diagnosis.

Conclusions:

Good level of reception of national recommendations was documented. The diagnostic procedure was generally accepted and applied. Some criticisms were specifically linked to the choice of universal or risk factor-based screening procedure, and to the right time for executing the OGTT in women at high risk.

By habiba
Mar 15, 2016
13:13
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