Indian Journal of Endocrinology and Metabolism

ORIGINAL ARTICLE
Year
: 2016  |  Volume : 20  |  Issue : 3  |  Page : 364--368

Current practices in the diagnosis and management of gestational diabetes mellitus in India (WINGS-5)


Manni Mohanraj Mahalakshmi1, Balaji Bhavadharini1, Kumar Maheswari1, Ranjit Mohan Anjana1, Saravanan Jebarani1, Lyudmil Ninov2, Arivudainamb Kayal2, Belma Malanda2, Anne Belton2, Ram Uma3, Viswanathan Mohan1, Ranjit Unnikrishnan1 
1 Dr. Mohan's Diabetes Specialities Centre, World Health Organization Collaborating Centre for Non Communicable Diseases Prevention and Control, Chennai, Tamil Nadu, India
2 Department of Policy and Programmes, International Diabetes Federation, Brussels, Belgium
3 Department of Obstetrics and Gynecology, Seethapathy Clinic and Hospital, Chennai, Tamil Nadu, India

Correspondence Address:
Ranjit Unnikrishnan
Dr. Mohan's Diabetes Specialities Centre, World Health Organization Collaborating Centre for Non Communicable Diseases Prevention and Control, No: 6B, Conran Smith Road, Gopalapuram, Chennai - 600 086, Tamil Nadu
India

Aim: To obtain information on existing practices in the diagnosis and management of gestational diabetes mellitus (GDM) among physicians/diabetologists/endocrinologists and obstetricians/gynecologists (OB/GYNs) in India. Methods: Details regarding diagnostic criteria used, screening methods, management strategies, and the postpartum follow-up of GDM were obtained from physicians/diabetologists/endocrinologists and OB/GYNs across 24 states of India using online/in-person surveys using a structured questionnaire. Results: A total of 3841 doctors participated in the survey of whom 68.6% worked in private clinics. Majority of OB/GYNs (84.9%) preferred universal screening for GDM, and screening in the first trimester was performed by 67% of them. Among the OB/GYNs, 600 (36.7%) reported using the nonfasting 2 h criteria for diagnosing GDM whereas 560 (29.4%) of the diabetologists/endocrinologists reported using the same. However, further questioning on the type of blood sample collected and the glucose load used revealed that, in reality, only 208 (12.7%) and 72 (3.8%), respectively, used these criteria properly. The survey also revealed that the International Association of Diabetes and Pregnancy Study Groups criteria was followed properly by 299 (18.3%) of OB/GYNs and 376 (19.7%) of physicians/diabetologists/endocrinologists. Postpartum oral glucose tolerance testing was advised by 56% of diabetologists and 71.6% of OB/GYNs. Conclusion: More than half of the physicians/diabetologists/endocrinologists and OB/GYNs in India do not follow any of the recommended guidelines for the diagnosis of GDM. This emphasizes the need for increased awareness about screening and diagnosis of GDM both among physicians/diabetologists/endocrinologists and OB/GYNs in India.


How to cite this article:
Mahalakshmi MM, Bhavadharini B, Maheswari K, Anjana RM, Jebarani S, Ninov L, Kayal A, Malanda B, Belton A, Uma R, Mohan V, Unnikrishnan R. Current practices in the diagnosis and management of gestational diabetes mellitus in India (WINGS-5).Indian J Endocr Metab 2016;20:364-368


How to cite this URL:
Mahalakshmi MM, Bhavadharini B, Maheswari K, Anjana RM, Jebarani S, Ninov L, Kayal A, Malanda B, Belton A, Uma R, Mohan V, Unnikrishnan R. Current practices in the diagnosis and management of gestational diabetes mellitus in India (WINGS-5). Indian J Endocr Metab [serial online] 2016 [cited 2021 Apr 17 ];20:364-368
Available from: https://www.ijem.in/article.asp?issn=2230-8210;year=2016;volume=20;issue=3;spage=364;epage=368;aulast=Mahalakshmi;type=0