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Abstract                 Volume:4  Issue-5  Year-2016          Original Research Articles


Online ISSN : 2347 - 3215
Issues : 12 per year
Publisher : Excellent Publishers
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Evaluation of Validity and Efficacy of DIPSI Criteria for Screening of Gestational Diabetes Mellitus
Meenal Jain*, Shikha Singh, Latika Pant and Garima Singh
Department of OBGYN, S.N.M.C., Agra, India
*Corresponding author
Abstract:

The main aim and objectives of this study includes, to compare the one step and two step procedure for diagnosis of GDM. This study was done at Deptt. Of Obst. & Gynaecology, S.N. Medical College, Agra between September 2013 to September 2015 with a total of  750 antenatal women irrespective of gestational age and gravidity and association of any clinical/historic risk factors for GDM. Out of these 150 women did not complete the study. A detailed history taking and clinical examination was done along with BMI. Routine investigation were done at 24-28 weeks gestation. Two step procedure which included 50gm GCT followed by 75gm OGTT for patients screened positive by 50gm GCT (WHO Criteria) was performed. All the patients also underwent 75gm 2hr OGTT(WHO Criteria) as the final diagnostic test. Mean 20.87+/-4.53 years, mean BMI 25.29+/-3.58 kg/m2. 43 cases were diagnosed of GDM retrospectively. Only 26 (60.4%) of these women were GCT positive and rest 17 (39.6%) were GCT negative. Thus sensitivity and specificity of GCT is 60.4% and 78.5% respectively.  For universal screening we favour a single GTT with a 75gm of oral glucose load and diagnosing women with a 2hr PPG >= 140mg/dl as GDM. This method recommended by WHO serves both as a one step screening and diagnostic procedure and is east to perform besides being economical.

Keywords: Gestational Diabetes Mellitus,Validity and efficacy of DIPSI
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How to cite this article:

Meenal Jain, Shikha Singh, Latika Pant and Garima Singh. 2016. Evaluation of Validity and Efficacy of DIPSI Criteria for Screening of Gestational Diabetes MellitusInt.J.Curr.Res.Aca.Rev. 4(5): 27-33
doi: http://dx.doi.org/10.20546/ijcrar.2016.405.004