Current practices in the diagnosis and management of gestational diabetes mellitus in India (WINGS-5)
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, managem...
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doaj-413f18171aef480fa71dc605fde7f1792020-11-25T00:00:30ZengWolters Kluwer Medknow PublicationsIndian Journal of Endocrinology and Metabolism2230-82102230-95002016-01-0120336436810.4103/2230-8210.180001Current practices in the diagnosis and management of gestational diabetes mellitus in India (WINGS-5)Manni Mohanraj MahalakshmiBalaji BhavadhariniKumar MaheswariRanjit Mohan AnjanaSaravanan JebaraniLyudmil NinovArivudainamb KayalBelma MalandaAnne BeltonRam UmaViswanathan MohanRanjit UnnikrishnanAim: 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.http://www.ijem.in/article.asp?issn=2230-8210;year=2016;volume=20;issue=3;spage=364;epage=368;aulast=MahalakshmiAsian Indiansgestational diabetes mellitusInternational Association of Diabetes and Pregnancy Study GroupsSouth AsiansWorld Health Organization |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Manni Mohanraj Mahalakshmi Balaji Bhavadharini Kumar Maheswari Ranjit Mohan Anjana Saravanan Jebarani Lyudmil Ninov Arivudainamb Kayal Belma Malanda Anne Belton Ram Uma Viswanathan Mohan Ranjit Unnikrishnan |
spellingShingle |
Manni Mohanraj Mahalakshmi Balaji Bhavadharini Kumar Maheswari Ranjit Mohan Anjana Saravanan Jebarani Lyudmil Ninov Arivudainamb Kayal Belma Malanda Anne Belton Ram Uma Viswanathan Mohan Ranjit Unnikrishnan Current practices in the diagnosis and management of gestational diabetes mellitus in India (WINGS-5) Indian Journal of Endocrinology and Metabolism Asian Indians gestational diabetes mellitus International Association of Diabetes and Pregnancy Study Groups South Asians World Health Organization |
author_facet |
Manni Mohanraj Mahalakshmi Balaji Bhavadharini Kumar Maheswari Ranjit Mohan Anjana Saravanan Jebarani Lyudmil Ninov Arivudainamb Kayal Belma Malanda Anne Belton Ram Uma Viswanathan Mohan Ranjit Unnikrishnan |
author_sort |
Manni Mohanraj Mahalakshmi |
title |
Current practices in the diagnosis and management of gestational diabetes mellitus in India (WINGS-5) |
title_short |
Current practices in the diagnosis and management of gestational diabetes mellitus in India (WINGS-5) |
title_full |
Current practices in the diagnosis and management of gestational diabetes mellitus in India (WINGS-5) |
title_fullStr |
Current practices in the diagnosis and management of gestational diabetes mellitus in India (WINGS-5) |
title_full_unstemmed |
Current practices in the diagnosis and management of gestational diabetes mellitus in India (WINGS-5) |
title_sort |
current practices in the diagnosis and management of gestational diabetes mellitus in india (wings-5) |
publisher |
Wolters Kluwer Medknow Publications |
series |
Indian Journal of Endocrinology and Metabolism |
issn |
2230-8210 2230-9500 |
publishDate |
2016-01-01 |
description |
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. |
topic |
Asian Indians gestational diabetes mellitus International Association of Diabetes and Pregnancy Study Groups South Asians World Health Organization |
url |
http://www.ijem.in/article.asp?issn=2230-8210;year=2016;volume=20;issue=3;spage=364;epage=368;aulast=Mahalakshmi |
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