To study the comparison of the efficacy of DIPSI, IADPSG, and GCT criteria as a screening test for gestational diabetes mellitus in Indian patients

Abstract

Gestational Diabetes Mellitus increases the risk of unfavourable maternal, perinatal, and foetal outcomes in females, necessitating early detection and treatment. The DIPSI, IADPSG, and GCT criteria for screening of Gestational Diabetes Mellitus in Indian patients were compared in this prospective cross-sectional study, which involved a total of 250 women with a gestational age of between 24-28 weeks. GDM screening and diagnostic procedures will be presented and contrasted, followed by an assessment of various glycemic thresholds. The comparison was made based on the specificity and sensitivity of various criteria, and it was discovered that a single-step 75-g OGTT utilizing the IADPSG criteria should be performed in the fasting state whenever possible. In resource-constrained settings, such as rural areas, a well-validated two-step approach uses a non-fasting 50 g GCT as the initial screening test, followed by a fasting OGTT for conclusive diagnosis in those who screen positive.