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GDM Manifests in All Trimesters

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Dr V Balaji, Chennai    27 November 2018

  1. Ethnically, Indian women are more prone to develop GDM. Universal screening is necessary in the Indian context.
  2. Customized Screening – Community: 75 g glucose challenge test (GCT) irrespective of the last meal timing is recommended. GDM is diagnosed if 2 hr PG ≥140 mg/dL. It is a single test that is cost-effective and reliable. Clinic: Fasting and 2 hr plasma glucose with 75 g OGTT may be performed.
  3. Screening should be done for glucose intolerance at the earliest opportunity during pregnancy. Repeat screening when negative.

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