Abstract
Aims
To describe the degree of diffusion and acceptance of national guideline on screening
and diagnosis of gestational diabetes (GDM) among Italian diabetes centers and to
detect possible areas for benchmarking.
Methods
In 2013 the Italian Diabetes in Pregnancy Study Group structured a national survey,
focused on GDM screening and diagnostic procedures, that was administered to diabetologists.
Results
Overall, 122 diabetologists of 122 different diabetes centers (21.7% territorial,
78.3% hospital/University) completed the questionnaire. All respondents declared to
execute a 75 g-oral glucose tolerance test (OGTT) as diagnostic test. Almost one in five centers
preferred a universal screening procedure, the others executing a selective risk factors-based
screening. In patients at high risk for GDM the OGTT was performed at 16–18 weeks’
gestation in 84.0% of the cases; only 6.5% of respondents preferred to execute it
as soon as possible; and 9.5% used to wait until 24–28 weeks’ gestation. In the case
of fasting plasma glucose (FPG) ≥5.1 mmol/l (92 mg/dl), two third of respondents used to proceed with the execution of the complete
diagnostic OGTT, the others considering sufficient the FPG value for the diagnosis.
Conclusions
Good level of reception of national recommendations was documented. The diagnostic
procedure was generally accepted and applied. Some criticisms were specifically linked
to the choice of universal or risk factor-based screening procedure, and to the right
time for executing the OGTT in women at high risk.
Keywords
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Article info
Publication history
Published online: January 28, 2016
Accepted:
December 27,
2015
Received in revised form:
October 24,
2015
Received:
May 19,
2015
Identification
Copyright
© 2016 Elsevier Ireland Ltd. Published by Elsevier Inc. All rights reserved.
