International Association of Diabetes and Pregnancy Study Groups Recommendations on the Diagnosis and Classification of Hyperglycemia in Pregnancy
Boyd E Metzger, Steven G Gabbe, Bengt Persson, Thomas A Buchanan, Patrick A Catalano, Peter Damm, Alan R Dyer, Alberto de Leiva, Moshe Hod, John L Kitzmiler, Lynn P Lowe, H David McIntyre, Jeremy J N Oats, Yasue Omori, Maria Ines Schmidt
Abstract
In the accompanying comment letter (1), Weinert summarizes published data from the Brazilian Gestational Diabetes Study (2) and comments on applying International Association of Diabetes and Pregnancy Study Groups (IADPSG) Consensus Panel recommendations (3) for the diagnosis of gestational diabetes mellitus (GDM) to that cohort. The Brazilian study provided evidence that adverse perinatal outcomes are associated with levels of maternal glycemia below those diagnostic of GDM by American Diabetes Association or World Health Organization criteria. However, the results were potentially confounded by the treatment of GDM. It did find that women with GDM were at increased risk for some …