Review Article

Quality of Life in Women with Gestational Diabetes Mellitus: A Systematic Review

Table 3

Diagnostic criteria for GDM of included studies.

StudyTime and methods of diagnosisDiagnostic criteria

Bień et al. [3]Diabetes first diagnosed during pregnancy, in accordance with the current guidelines of the Polish Diabetology Society: for pregnant women with risk factors, the 75 g OGTT is required. If glycemia is normal, the test should be readministered at 24–28 weeks of pregnancy or when first symptoms indicative of diabetes are observed. For women without risk factors, the 75 g OGTT is administered at 24–28 weeks of pregnancy75-g OGTT:
FPG levels of 92–125 mg/dl and/or 1 h PG level ≥180 mg/dl and/or 2 h PG level of 153–199 mg/dl

Danyliv et al. [18]Pregnant women were offered screening at 24–28 weeks’ gestation using a 75 g OGTT75 g OGTT in accordance with the IADPSG criteria

Kopec et al. [19]GDM was diagnosed by a two-step approach. The oral GCT administered between 24 and 28 weeks of pregnancy. Women with 1 h PG level >180 mg/dl (10.0 mmol/l) in the OGCT were classified as having GDM. Women with PG levels between 140 mg/dl (7.8 mmol/l) and 180 mg/dl (10.0 mmol/l) were referred for a diagnostic 75 g OGTTTwo-step approach:
50 g GCT followed, if positive, by 75 g OGTT interpreting the results according to the WHO diagnostic criteria

Latif et al. [25]GDM was diagnosed at 28 weeks of pregnancyA 2 h 75 g OGTT according to the WHO diagnostic criteria

Trutnovsky et al. [20]Diagnosed GDM based on the results of an elevated 75 g OGTTDiagnostic criteria not fully specified

Lapolla et al. [9]GDM was diagnosed according to Carpenter and Coustan’s criteriaCarpenter and Coustan’s criteria

Dalfrà et al. [8]Screening for GDM was done with a GCT between the 24th and 28th weeks of gestation, and the diagnosis was confirmed with a 100 g OGTT, interpreting the results according to the Recommendations of the 4th International Workshop Conference on GDMCarpenter and Coustan’s criteria

Petkova et al. [26]Women, suspected to have GDM, were subjected to 2 h 75 g GCT. Those with sugar level around 140 mg/dl (7.8 mmol/L) or above were requested for OGTT recommended by WHOTwo-step approach:
GCT + OGTT interpreting the results according to the WHO diagnostic criteria

Halkoaho et al. [21]The diagnosis of GDM is based on a 2 h glucose tolerance test generally administered during the 24th–28th weeks of pregnancy to women with GDM risk factorsDiagnostic criteria not fully specified

Mautner et al. [22]The group “gestational diabetes” included women diagnosed with a pathological oral glucose tolerance test requiring insulin therapy at the end of the second and the beginning of the third trimester. The diagnosis of GDM is based on a pathological OGTTDiagnostic criteria not fully specified

Dalfrà et al. [27]Screening for GDM was done with a GCT between the 24th and 28th weeks of gestation, and the diagnosis was confirmed with a 100 OGTTCarpenter and Coustan’s criteria

Elnour et al. [28] Women within the first 20 weeks of gestation confirmed diagnosis of GDMDiagnostic criteria not specified

Kim et al. [23]GDM was diagnosed according to Carpenter and Coustan’s criteria between 24–28 weeks of gestationCarpenter and Coustan’s criteria

Crowther et al. [29]Pregnancy between 16 and 30 weeks’ gestation with one or more risk factors for gestational diabetes on selective screening or a positive 50 g GCT and a 75 g OGTT at 24 to 34 weeks’ gestation in accordance with the WHO diagnostic criteriaTwo-step or one-step approach:
50 g GCT: 1 h PG level ≥140 mg/dl (7.8 mmol/l) + 75 g OGTT: 2 h PG level of 140–198 (7.8–11.0 mmol/l)
or selective screening: 75 g OGTT interpreting the results according to the WHO diagnostic criteria

Rumbold and Crowther [24]Universal antenatal screening for GDM by either a random blood sample or a 50 g GCT at 24 to 28 weeks’ gestation. Women who screen positive are offered a diagnostic 75 g OGTTTwo-step approach:
random blood sample or 50 g GCT followed, if positive, by 75 g OGTT interpreting the results according to the WHO diagnostic criteria

GCT: glucose challenge test; GDM: Gestational Diabetes Mellitus; IADPSG: International Association of Diabetes and Pregnancy Study Groups; OGTT: oral glucose tolerance test; WHO: World Health Organization.