Pregnant women will not have to undergo the cumbersome standard test for gestational diabetes mellitus (GDM) anymore.
The Indian college of obstetricians and gynaecologists (ICOG) is calling pregnant women to undergo a one step test to detect signs of diabetes. The standard test involves troublesome steps of screening and diagnosis. The new test will ensure that the woman gets proper management to prevent diabetes in future.
According to the experts, the one step test- diabetes in pregnancy study group, India (DIPSI) -not only limits the woman’s visits to the clinic to one or two times but also involves fewer blood samplings.
“Currently the ICOG is preparing a draft to recommend this single step test that can be used in low-resource setting and help control diabetes,” said Dr Sudeshna Ray, consultant of gynaecologists and obstetrician, Jaslok hospital and member of the committee of medical disorder in pregnancy. The DIPSI drafting was discussed in the meeting with federation of gynaecologists and obstetricians society of India’s technical advisory group.
According to experts the spread of diabetes pandemic to the younger population in India means that there is a growing epidemic of GDM.It is very important for the women to know if they fall under the high risk group of having gestational diabetes.
“Women who had GDM during a previous pregnancy, has a first degree relative who is a diabetic, who gave birth to large weight babies in a previous pregnancy fall under the high risk group of GDM,” said Dr Ray. The other risk factors are women who gave birth to still born babies or infants with congenital abnormalities, women with repeated or persistent urinary tract infection and women over the age of 30 years.
While women usually recover from gestational diabetes after they give birth, they have a 50% increased risk of developing type 2 diabetes later on, she said. Women with both type 1 and type 2 diabetes needed to prepare for pregnancy much more carefully than others, she added.
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