Lisätietoa aiheesta

Raskausdiabeteksen plasman glukoosin ja glukoosirasituskokeen diagnostiset raja-arvot eri suosituksissa

Lisätietoa aiheesta
31.5.2022
Heidi Alenius ja Heidi Hakkarainen

Raskausdiabeteksen plasman glukoosin ja 75 g 2- tunnin glukoosirasituskokeen raja-arvot (mmol/l)

Suosituskriteerit julkaistuPaasto1 tunti2 tuntia
IADPSG (2010) «International Association of Diabetes and Pregnancy Study Groups Consensus Panel., Metzger BE, Gabbe SG ym. International association of diabetes and pregnancy study groups recommendations on the diag»1≥ 5,1≥ 10,0≥ 8,5
WHO (2013) «Diagnostic Criteria and Classification of Hyperglycaemia First Detected in PregnancyGeneva:World Health Organization; 2013 »2 ≥ 5,1≥ 10,0≥ 8,5
ADIPS (2014) «Nankervis A, Mclntyre HD, Moses R, Ross G, Callaway L, Porter C et al. 2014.ADIPS consensus guidelines for the testing and diagnosis of gestational diabetes mellitus in Australia. Sydney: Australasian»3 ≥ 5,1≥ 10,0≥ 8,5
Socialstyrelsen (2015) «Gränsvärden för graviditetsdiabetes Stöd för beslut om behandling: »4≥ 5,1≥ 10,0≥ 8,5
FIGO (2015) «Hod M, Kapur A, Sacks DA ym. The International Federation of Gynecology and Obstetrics (FIGO) Initiative on gestational diabetes mellitus: A pragmatic guide for diagnosis, management, and care. Int J »5 ≥ 5,1≥ 10,0≥ 8,5
SIGN (2017) «SIGN Scottish Intercollegiate Guidelines Network: Managemenet of diabetes: a national clinical guideline. 2017 »6 ≥ 5,1≥ 10,0≥ 8,5
NZGG (2014) «Ministry Of Health. Screening, Diagnosis and Management of Gestational Diabetes in New Zealand: A clinical practice guideline. Wellington: Ministry of Health; 2014 »7≥ 5,5 ≥ 9,0
NICE (2015) «Diabetes in pregnancy: management from preconception to the postnatal period. NICE guideline [NG3] Published date: 25 February 2015 Last updated: 16 December 2020 »8 ≥ 5,6 ≥ 7,8
CDA (2013) «Canadian Diabetes Association Clinical Practice Guidelines Expert Committee;Thompson D, Berger H, Feig D et al. Diabetes and pregnancy. Practice guideline. Can J Diabetes. 2013 Apr;37 Suppl 1:S168-83»9
2 step, if no 50 g test, 75g OGTT		≥ 5,1≥ 10,0≥ 8,5
ACOG (2017) «ACOG Practice Bulletin No. 190: Gestational Diabetes Mellitus. Obstet Gynecol. 2018;131:e49-e64, PMID: 29370047»10
2 step: 50 g test, 100 g OGTT		≥ 5,3≥ 10,0≥ 8,6
ADA (2019) «American Diabetes Association.. 2. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes-2020. Diabetes Care 2020;43:S14-S31 »11
75 g OGTT or 2 step as ACOG		≥ 5,1≥ 10,0≥ 8,5

Viite «Zhang M, Zhou Y, Zhong J ym. Current guidelines on the management of gestational diabetes mellitus: a content analysis and appraisal. BMC Pregnancy Childbirth 2019;19:200 »12.

Kirjallisuutta

  1. International Association of Diabetes and Pregnancy Study Groups Consensus Panel., Metzger BE, Gabbe SG ym. International association of diabetes and pregnancy study groups recommendations on the diagnosis and classification of hyperglycemia in pregnancy. Diabetes Care 2010;33:676-82 «PMID: 20190296»PubMed
  2. Diagnostic Criteria and Classification of Hyperglycaemia First Detected in PregnancyGeneva:World Health Organization; 2013 «https://www.ncbi.nlm.nih.gov/books/NBK169024/»1
  3. Nankervis A, Mclntyre HD, Moses R, Ross G, Callaway L, Porter C et al. 2014.ADIPS consensus guidelines for the testing and diagnosis of gestational diabetes mellitus in Australia. Sydney: Australasian Diabetes in Pregnancy
  4. Gränsvärden för graviditetsdiabetes Stöd för beslut om behandling: «https://www.socialstyrelsen.se/globalassets/sharepoint-dokument/artikelkatalog/ovrigt/2015-6-52.pdf»2
  5. Hod M, Kapur A, Sacks DA ym. The International Federation of Gynecology and Obstetrics (FIGO) Initiative on gestational diabetes mellitus: A pragmatic guide for diagnosis, management, and care. Int J Gynaecol Obstet 2015;131 Suppl 3:S173-S211 «PMID: 29644654»PubMed
  6. SIGN Scottish Intercollegiate Guidelines Network: Managemenet of diabetes: a national clinical guideline. 2017 «https://www.sign.ac.uk/media/1054/sign116.pdf»3
  7. Ministry Of Health. Screening, Diagnosis and Management of Gestational Diabetes in New Zealand: A clinical practice guideline. Wellington: Ministry of Health; 2014 «https://www.health.govt.nz/publication/screening-diagnosis-and-management-gestational-diabetes-new-zealand-clinical-practice-guideline»4
  8. Diabetes in pregnancy: management from preconception to the postnatal period. NICE guideline [NG3] Published date: 25 February 2015 Last updated: 16 December 2020 «https://www.nice.org.uk/guidance/ng3/chapter/Recommendations#gestational-diabetes»5
  9. Canadian Diabetes Association Clinical Practice Guidelines Expert Committee;Thompson D, Berger H, Feig D et al. Diabetes and pregnancy. Practice guideline. Can J Diabetes. 2013 Apr;37 Suppl 1:S168-83,PMID: 24070943
  10. ACOG Practice Bulletin No. 190: Gestational Diabetes Mellitus. Obstet Gynecol. 2018;131:e49-e64, PMID: 29370047
  11. American Diabetes Association.. 2. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes-2020. Diabetes Care 2020;43:S14-S31 «PMID: 31862745»PubMed
  12. Zhang M, Zhou Y, Zhong J ym. Current guidelines on the management of gestational diabetes mellitus: a content analysis and appraisal. BMC Pregnancy Childbirth 2019;19:200 «PMID: 31196116»PubMed