A study comparing non-gestational diabetes mellitus and gestational diabetes mellitus in antenatal patients in a tertiary care center


  • Preeti Sharma Department of Obstetrics and Gynecology, Muzaffarnagar Medical College, Muzaffarnagar, Uttar Pradesh, India
  • Neeta Chaudhary Department of Obstetrics and Gynecology, Muzaffarnagar Medical College, Muzaffarnagar, Uttar Pradesh, India
  • Suchitra Singh Department of Obstetrics and Gynecology, Muzaffarnagar Medical College, Muzaffarnagar, Uttar Pradesh, India




Diabetes in pregnancy study group of India, Gestational diabetes mellitus, Lower segment caesarean section, Oral glucose tolerance test


Background: Gestational diabetes mellitus is defined as any glucose intolerance with the onset or first recognition during pregnancy. Objectives of this study were to diagnose cases of GDM by screening with DIPSI criteria at less than 28 weeks. And observation and comparison of maternal and perinatal outcome in women diagnosed of GDM in less than 20 weeks and at 24-28 weeks.

Methods: This was the prospective analytical study conducted in the department of obstetrics and gynecology for one year in Muzaffarnagar medical college and Hospital. After history taking, clinical and obstetrics examination 1503 antenatal patients of less than 28 weeks were enrolled underwent screening with DIPSI criteria. Out of which 80 patients with abnormal OGTT of gestational age less than 20 weeks and 69 patients with abnormal OGTT of gestational age 24 -28 weeks.

Results: In early diagnosed GDM group alive and healthy babies were slightly lower as compared with late diagnosed GDM group.

Conclusions: The diagnosis of GDM gives us an opportunity in identifying individuals who will be benefitted by early therapeutic intervention with diet, exercise, and normalizing the weight to delay or prevent the onset of the disease.


American diabetes association position statement -gestational diabetes care. 1986;9:430-1.

American diabetes association position statement in diagnosis and classification of diabetes mellitus. diabetes care. 2011;34(1):S62-9.

Seshiah V, Balaji V, Shah SN, Joshi S, Das AK, Sahay BK, et al. Diagnosis of gestational diabetes mellitus in the community. J Assoc Physicians India. 2012;60:15-7.

Ferrara A. Increasing prevalence of gestational diabetes mellitus - a public health perspective. Diabetes Care. 2007;30:141-6.

Meltzer SJ, Snyder J, Penrod JR, Nudi M, Morin L. Gestational diabetes mellitus screening and diagnosis: a prospective randomized controlled trial comparing costs of one step and two step methods. Br J Obstet Gynecol. 2010;117:407-15.

Brody SC, Harris R, Lohr K. Screening for gestational diabetes: a summary of the evidence for the U.S. Preventive Services Task Force. Obstet Gynecol. 2003;101:380-92.

National Diabetes Data Group. Diabetes in America 2nd edition Harris M, editor. Betheseda, MD National Institutes of Health; 1995.

Subburaj VK. Secretary to Government of India with reference to health and family welfare (P) Department letter (D) No. 356; 2007.

Jiwani A, Marseille E, Lohse N, Damm P, Hod M, Kahn JG. Gestational diabetes mellitus: results from a survey of country prevalence and practices. The Journal of Maternal-Fetal Neonat Med. 2012;25(6):600-10.

Seshiah V, Balaji V, Balaji MS, Sanjeev CB, Green A. Gestational diabetes mellitus in India. J Assoc Physicians India. 2004;52:707-11.

Ramachandran A, Snehalatha C, Shyamala P, Vijay V, Viswanathan M. Prevalence of diabetes in pregnant women - a study from southern India. Diabetes Res Clin Pract. 1994; 25(1):71-4.

Zargar AH, Sheikh MI, Bashir MI, Masoodi SR, Laway BA, Wani AI, et al. Prevalence of gestational diabetes mellitus in Kashmiri women from the Indian Subcontinent. Diabetes Res Clin Pract. 2004;66:139-45.

Vinita D, Vaishali J, Anjoo A, Amita P, Sushma P, Agarwal CG. Glucometer screening of gestational diabetes. The J Obstet Gynecol India. 2006;56(6):499-501.

Swami SR, Mehetre R, Shivane V, Bandgar TR, Menon PS, Shah NS. Prevalence of carbohydrate intolerance of varying degrees in pregnant females in western India (Maharashtra): A hospital-based study. J Indian Med Assoc. 2008;106:712-4.

Neelakandan R, Sethu PS. Early universal screening for gestational diabetes mellitus. J Clin Diagn Res. 2014;8(4):12-4.






Original Research Articles