Diagnostic accuracy of DIPSI criteria for diagnosing gestational diabetes mellitus in Puducherry
Context: Gestational diabetes mellitus (GDM) is a major concern in recent years. During pregnancy, it is difficult to consume 75 g of glucose in the fasting state as pregnant women may experience symptoms such as vomiting. The Diabetes in Pregnancy Study Group India (DIPSI) criterion requires a sing...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-11-01
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| Series: | Journal of Family Medicine and Primary Care |
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| Online Access: | https://journals.lww.com/10.4103/jfmpc.jfmpc_894_24 |
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| author | S Pravinraj Mohamed M. Tajudeen Darshana Zala Rajini Senthil Mercy M. Jafrin |
| author_facet | S Pravinraj Mohamed M. Tajudeen Darshana Zala Rajini Senthil Mercy M. Jafrin |
| author_sort | S Pravinraj |
| collection | DOAJ |
| description | Context:
Gestational diabetes mellitus (GDM) is a major concern in recent years. During pregnancy, it is difficult to consume 75 g of glucose in the fasting state as pregnant women may experience symptoms such as vomiting. The Diabetes in Pregnancy Study Group India (DIPSI) criterion requires a single prick in the non-fasting state to collect the sample for diagnosing GDM.
Aims:
This study aimed to assess the diagnostic accuracy of DIPSI criteria compared to the WHO criteria for GDM diagnosis.
Settings and Design:
A community-based cross-sectional study was conducted among pregnant mothers attending the primary health centers in Puducherry from August 2022 to November 2022.
Methods and Material:
A total of 384 samples were selected, and 75 g of anhydrous glucose was given after 8 hours of overnight fasting. Both fasting and postprandial venous blood sugar levels were measured to determine the prevalence of GDM as per the WHO 2013 criteria. After 2 days, GDM was diagnosed among all study participants based on the DIPSI criteria. Further analysis was done.
Results:
The prevalence of GDM was 14.1% and 12.8% per the WHO 2013 and DIPSI criteria, respectively. In comparison to the WHO 2013 criteria, DIPSI had 79.63% sensitivity, 98.18% specificity, 87.76% positive predictive value, and 96.72% negative predictive value. The results of kappa statistics showed that there was almost perfect agreement between the WHO 2013 criteria and DIPSI criteria.
Conclusions:
The present study shows that the DIPSI criteria can be used to screen and diagnose GDM as there is no need for overnight fasting. The blood glucose value can be measured easily with a single prick, which is comfortable for both pregnant women and treating doctors. |
| format | Article |
| id | doaj-art-cc9dcb6d7fbd482f86d01633b6f8a290 |
| institution | DOAJ |
| issn | 2249-4863 2278-7135 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Family Medicine and Primary Care |
| spelling | doaj-art-cc9dcb6d7fbd482f86d01633b6f8a2902025-08-20T02:48:46ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632278-71352024-11-0113115296530010.4103/jfmpc.jfmpc_894_24Diagnostic accuracy of DIPSI criteria for diagnosing gestational diabetes mellitus in PuducherryS PravinrajMohamed M. TajudeenDarshana ZalaRajini SenthilMercy M. JafrinContext: Gestational diabetes mellitus (GDM) is a major concern in recent years. During pregnancy, it is difficult to consume 75 g of glucose in the fasting state as pregnant women may experience symptoms such as vomiting. The Diabetes in Pregnancy Study Group India (DIPSI) criterion requires a single prick in the non-fasting state to collect the sample for diagnosing GDM. Aims: This study aimed to assess the diagnostic accuracy of DIPSI criteria compared to the WHO criteria for GDM diagnosis. Settings and Design: A community-based cross-sectional study was conducted among pregnant mothers attending the primary health centers in Puducherry from August 2022 to November 2022. Methods and Material: A total of 384 samples were selected, and 75 g of anhydrous glucose was given after 8 hours of overnight fasting. Both fasting and postprandial venous blood sugar levels were measured to determine the prevalence of GDM as per the WHO 2013 criteria. After 2 days, GDM was diagnosed among all study participants based on the DIPSI criteria. Further analysis was done. Results: The prevalence of GDM was 14.1% and 12.8% per the WHO 2013 and DIPSI criteria, respectively. In comparison to the WHO 2013 criteria, DIPSI had 79.63% sensitivity, 98.18% specificity, 87.76% positive predictive value, and 96.72% negative predictive value. The results of kappa statistics showed that there was almost perfect agreement between the WHO 2013 criteria and DIPSI criteria. Conclusions: The present study shows that the DIPSI criteria can be used to screen and diagnose GDM as there is no need for overnight fasting. The blood glucose value can be measured easily with a single prick, which is comfortable for both pregnant women and treating doctors.https://journals.lww.com/10.4103/jfmpc.jfmpc_894_24diabetes in pregnancydiagnostic accuracydipsigdmgestational diabetes mellitusogtt |
| spellingShingle | S Pravinraj Mohamed M. Tajudeen Darshana Zala Rajini Senthil Mercy M. Jafrin Diagnostic accuracy of DIPSI criteria for diagnosing gestational diabetes mellitus in Puducherry Journal of Family Medicine and Primary Care diabetes in pregnancy diagnostic accuracy dipsi gdm gestational diabetes mellitus ogtt |
| title | Diagnostic accuracy of DIPSI criteria for diagnosing gestational diabetes mellitus in Puducherry |
| title_full | Diagnostic accuracy of DIPSI criteria for diagnosing gestational diabetes mellitus in Puducherry |
| title_fullStr | Diagnostic accuracy of DIPSI criteria for diagnosing gestational diabetes mellitus in Puducherry |
| title_full_unstemmed | Diagnostic accuracy of DIPSI criteria for diagnosing gestational diabetes mellitus in Puducherry |
| title_short | Diagnostic accuracy of DIPSI criteria for diagnosing gestational diabetes mellitus in Puducherry |
| title_sort | diagnostic accuracy of dipsi criteria for diagnosing gestational diabetes mellitus in puducherry |
| topic | diabetes in pregnancy diagnostic accuracy dipsi gdm gestational diabetes mellitus ogtt |
| url | https://journals.lww.com/10.4103/jfmpc.jfmpc_894_24 |
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