One-Step versus Two-Step Diagnostic Test for Gestational Diabetes Mellitus

Sukriti Gupta, Shashi Bala Arya, Rashmi Ramanuj, ‡. Prasad, JK Goel TARIQ MAHMOOD, Dr Shashi Bala
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Abstract

Comparison between one-step Diabetes in Pregnancy Study Group India (DIPSI) andAmerican Diabetes Association (ADA) recommended two-step oral glucose tolerance test(OGTT). Material and methods: This study has a sample size of 200; 100 participants eachwere subjected to either of the two tests. Gestational diabetes mellitus (GDM) and non-GDMdiagnosed by one-step test versus two-step test, respectively, were compared to one anotherand results were compared on the basis of various antenatal complications and fetomaternaloutcomes. Results: No statistical difference was found between both the groups on the basis ofvarious antenatal and fetomaternal outcomes. Conclusion: In Indian subcontinent with poorresources and lack of follow-up, single-step DIPSI can be preferred to ADA recommendedtwo-step OGTT; however, large database studies are still required.
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妊娠糖尿病的一步式诊断测试与两步式诊断测试
一步式印度妊娠糖尿病研究小组(DIPSI)与美国糖尿病协会(ADA)推荐的两步式口服葡萄糖耐量试验(OGTT)的比较。材料和方法:本研究的样本量为 200 人,其中 100 人接受了两种测试中的任何一种。将分别通过一步法测试和两步法测试诊断出的妊娠期糖尿病(GDM)和非GDM进行比较,并根据各种产前并发症和胎儿-产妇结局对结果进行比较。结果显示两组在各种产前并发症和胎儿结局方面均无统计学差异。结论在资源贫乏和缺乏随访的印度次大陆,单步 DIPSI 可优于 ADA 推荐的两步 OGTT;然而,仍需进行大型数据库研究。
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