Abstract: Aims & Objectives:
This study aimed to evaluate validity of DIPSI guidelines as a universal screening as well as a diagnostic tool for Gestational Diabetes Mellitus. This study also estimated the incidence of Gestational Diabetes Mellitus and evaluated neonatal outcome in patients of Gestational Diabetes Mellitus.
Material and Methods: A total of 175 antenatal patients after excluding pre gestational diabetes were screened for GDM with 75 gm oral glucose irrespective of their last meal timing and venous plasma was drawn at 2 hours (DIPSI). Pregnant women with 2-hour plasma glucose ≥ 140 mg/dl underwent 100 gm Glucose Tolerance test as per Carpenter and Coustan criteria to diagnose Gestational Diabetes Mellitus and rest were classified as normal glucose tolerant (NGT) women.
Results: The incidence of GDM was 5.71 % using the DIPSI method and 3.43% using Carpenter and Coustan criteria. Age ≥25years, BMI ≥25 kg/m², family history of diabetes were the risk factors for GDM. GDM was more frequently associated with Pregnancy induced Hypertension, Polyhydramnios, NICU admission.
Conclusion: DIPSI recommended 75 gm oral glucose challenge test irrespective of the last meal is a very simple, cost effective and feasible procedure for universal screening and diagnosis of GDM.