Counterpoint: Establishing consensus in the diagnosis of GDM following the HAPO study
- PMID: 24777652
- PMCID: PMC4039030
- DOI: 10.1007/s11892-014-0497-x
Counterpoint: Establishing consensus in the diagnosis of GDM following the HAPO study
Abstract
The International Association of Diabetes in Pregnancy Study Groups (IADPSG) recommended a new protocol of 1-step testing with a 75 g oral glucose tolerance test for gestational diabetes in 2010. Since that time, these recommendations have been carefully scrutinized and accepted by a variety of organizations, but challenged or rejected by others. In the current review, we present more details regarding the background to the development of the IADPSG recommendations and seek to place them in context with the available epidemiologic and randomized controlled trial data. In this "counterpoint," we also provide specific rebuttal for errors of fact and disputed contentions provided by Long and Cundy in their 2013 article in Current Diabetes Reports.
Conflict of interest statement
H. David McIntyre has board membership with the Mater Research Institute. He has received speakers’ fees from Novo Nordisk, Eli Lilly, Sanofi-Aventis, and AstraZeneca. He has received travel/accommodations expenses covered or reimbursed for travel to meetings from Novo Nordisk, Sanofi-Aventis, and AstraZeneca.
Donald R. Coustan has received royalties for textbooks written or edited. He has received honoraria from various academic institutions and professional organizations for lectures given, none from commercial entities. He has received travel expense reimbursement and coverage for giving lectures at various academic institutions and professional organizations, none from commercial entities. He was regional director for North America in the HAPO study.
Boyd E. Metzger, Alan R. Dyer, David R. Hadden, Moshe Hod, Lynn P. Lowe, Jeremy J.N, and Bengt Persson declare that they have no conflict of interest.
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References
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- Metzger BE, Lowe LP, Dyer AR, Trimble ER, Chaovarindr U, Coustan DR, et al. Hyperglycemia and adverse pregnancy outcomes. N Engl J Med. 2008;358(19):1991–2002. - PubMed
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Metzger BE, Gabbe SG, Persson B, Buchanan TA, Catalano PA, Damm P, et al. International association of diabetes and pregnancy study groups recommendations on the diagnosis and classification of hyperglycemia in pregnancy. Diabetes Care. 2010;33(3):676–682. This paper presents the recommendations of the IADPSG consensus panel, which form the basis of the current point/counterpoint discussion
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- World Health Organization. Diagnostic Criteria and Classification of Hyperglycaemia First Detected in Pregnancy. Geneva: WHO Press; 2013. - PubMed
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