A proposal for the use of uniform diagnostic criteria for gestational diabetes in Europe: an opinion paper by the European Board & College of Obstetrics and Gynaecology (EBCOG)
Por:
Benhalima, K, Mathieu, C, Damm, P, Van Assche, A, Devlieger, R, Desoye, G, Corcoy, R, Mahmood, T, Nizard, J, Savona-Ventura, C, Dunne, F
Publicada:
1 jul 2015
Resumen:
Screening and diagnostic criteria for gestational diabetes (GDM) are inconsistent across Europe, and the development of a uniform GDM screening strategy is necessary. Such a strategy would create opportunities for more women to receive timely treatment for GDM. Developing a consensus on screening for GDM in Europe is challenging, as populations are diverse and healthcare delivery systems also differ. The European Board & College of Obstetrics and Gynaecology (EBCOG) has responded to this challenge by appointing a steering committee, including members of the EBCOG and the Diabetic Pregnancy Study Group (DPSG) associated with the EASD, to develop a proposal for the use of uniform diagnostic criteria for GDM in Europe. A proposal has been developed and has now been approved by the Council of the EBCOG. The current proposal is to screen for overt diabetes at the first prenatal contact using cut-off values for diabetes outside pregnancy, with particular efforts made to screen high-risk groups. When screening for GDM is performed at 24 weeks' gestation or later, the proposal is now to use the 75 g OGTT with the new WHO diagnostic criteria for GDM. However, more research is necessary to evaluate the best GDM screening strategy for different populations in Europe. Therefore, no clear recommendation has been made on whether a universal one-step, two-step or a risk-factor-based screening approach should be used. The use of the same WHO diagnostic GDM criteria across Europe will be an important step towards uniformity.
Filiaciones:
Benhalima, K:
Katholieke Univ Leuven, UZ Gasthuisberg, Dept Endocrinol, B-3000 Louvain, Belgium
Mathieu, C:
Katholieke Univ Leuven, UZ Gasthuisberg, Dept Endocrinol, B-3000 Louvain, Belgium
Damm, P:
Univ Copenhagen, Rigshosp, Fac Hlth & Med Sci,Dept Obstet, Ctr PregnantWomen Diabet,Juliane Marie Ctr,Clin I, DK-2100 Copenhagen, Denmark
Van Assche, A:
Katholieke Univ Leuven, UZ Gasthuisberg, Dept Obstet & Gynecol, B-3000 Louvain, Belgium
Devlieger, R:
Katholieke Univ Leuven, UZ Gasthuisberg, Dept Obstet & Gynecol, B-3000 Louvain, Belgium
Desoye, G:
Med Univ Graz, Dept Obstet & Gynecol, Graz, Austria
Corcoy, R:
Hosp Santa Creu & Sant Pau, Endocrinol & Nutr Dept, E-08025 Barcelona, Spain
Mahmood, T:
Univ Edinburgh, Dept Obstet & Gynecol, Edinburgh, Midlothian, Scotland
Nizard, J:
Grp Hosp Pitie Salpetriere, AP HP, Dept Obstet & Gynecol, F-75634 Paris, France
Savona-Ventura, C:
Univ Malta, Sch Med, Dept Obstet & Gynecol, Msida, Malta
Dunne, F:
Natl Univ Ireland Univ Coll Galway, Endocrinol Sch Med, Galway, Ireland
Natl Univ Ireland Univ Coll Galway, Galway Diabet Res Ctr, Galway, Ireland
Bronze
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