Correction

Endocrinology
Volume 177 - Issue 5

Guidelines for the management of gestational diabetes mellitus revisited

Authors:  David S Simmons, Barry N J Walters, Peter Wein and N Wah Cheung

Med J Aust 2002; 177 (5): 279. || doi: 10.5694/j.1326-5377.2002.tb04774.x
Published online: 2 September 2002
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Re the letter "Guidelines for the management of gestational diabetes mellitus revisited", by David S Simmons, Barry N J Walters, Peter Wein and N Wah Cheung, on behalf of the Australasian Diabetes in Pregnancy Society, published in the 1 April issue (Med J Aust 2002; 176: 352), in which the American College of Obstetricians and Gynecologists criterion for diagnosing gestational diabetes mellitus of a 1-hour fasting plasma glucose level of ≥ 10.0 mmol/L was mistakenly placed in the adjacent Australasian Diabetes in Pregnancy Society column. The entire corrected table is reprinted below.

Differences between management guidelines for gestational diabetes mellitus (GDM) from the Australasian Diabetes in Pregnancy Society (ADIPS, 1998) and the American College of Obstetricians and Gynecologists (ACOG, 2001)

ADIPS

ACOG

Universal versus selective screening by blood test

Universal unless low GDM incidence or resources limited

No recommendation. States that "many physicians elect to screen all pregnant patients as a practical matter"

Differences in definition of low risk for GDM

Age < 30 years, obesity, family history of diabetes

Age < 25 years, body mass index < 25 kg/m2. No known diabetes in first-degree relative

Oral glucose tolerance test used

75 g, 2-hour, 2-point blood sampling

100 g, 3-hour, 4-point blood sampling

Criteria for diagnosis of GDM

Plasma glucose level: Fasting, ≥ 5.5 mmol/L and/or 2-hour, ≥ 8.0 mmol/L

Plasma glucose level: Fasting, ≥ 5.3 mmol/L; 1-hour, ≥ 10.0 mmol/L; 2-hour, ≥ 8.6 mmol/L; 3-hour, ≥ 7.8 mmol/L (2 or more time points need to elevated)

Insulin therapy commenced after medical–nutrition therapy

Plasma glucose level: Fasting, ≥ 5.5 mmol/L and/or 1-hour postprandial, ≥ 8.0 mmol/L and/or 2-hour postprandial, ≥7.0 mmol/L

Plasma glucose level: Fasting, ≥ 5.3 mmol/L and/or 1-hour postprandial, ≥ 7.2–7.8 mmol/L and/or 2-hour postprandial, ≥ 6.7 mmol/L

Authors

  • David S Simmons1
  • Barry N J Walters2
  • Peter Wein3
  • N Wah Cheung4
  • 1. University of Melbourne, Shepparton, VIC.
  • 2. University of Western Australia, Department of Obstetrics and Gynaecology, King Edward Memorial Hospital, Subiaco, WA.
  • 3. Diabetes Unit, Royal Women's Hospital, Carlton, VIC.
  • 4. Department of Diabetes and Endocrinology, Westmead Hospital, Westmead, NSW.

Correspondence: dsimmons@unimelb.edu.au

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