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KMID : 1101620230340010001
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Perinatology
2023 Volume.34 No. 1 p.1 ~ p.8
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Diagnostic Criteria of Gestational Diabetes: The International Association of the Diabetes and Pregnancy Study Groups Compared with Carpenter-Coustan Criteria
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Yang Seung-Woo
Yuk Jin-Sung
Seo Yong-Soo
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Abstract
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Gestational diabetes mellitus (GDM) is defined as any degree of glucose intolerance that begins or is first recognized during pregnancy and is one of the most common medical complications of pregnancy. However, debate continues to surround the diagnosis despite several large-scale studies addressing these issues. The new proposed International Association of Diabetes and Pregnancy Study Groups (IADPSG) criteria, the only diagnostic criteria for GDM based on pregnancy outcome, have been adopted by many groups and countries.These criteria are derived from the Hyperglycemia and Adverse Pregnancy Outcomes study, which demonstrated continuous linear relationships between maternal hyperglycemia and some perinatal outcomes. However, there is a concern that applying these criteria increases the incidence of gestational diabetes by two to three times and has enormous resource implications. Before considering the application of the IADPSG criteria, we would like to review the benefits and problems through this review and find out about the diagnostic criteria around the world.
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KEYWORD
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Gestational diabetes, Pregnancy complications, Diabetes complications, Fetal macrosomia
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