Table 1.
Centres | Number of births 2017a | Indication for a diagnostic OGTT | Diagnostic criteria prior to switch (mmol/L) | Method for glucose analysis | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Previous | BMI at booking | FHd | Polyhyd ramnios | Accelerated fetal growth | RPG | |||||||
GDM | Macro somiab | LGAc | Stillbirth | |||||||||
1. Stockholm | 28,602 | T1 & 24–28 | 24–28 | ≥35 | Yes | Yes | RPGe ≥ 9 mmol/L at booking, week 25, 29, 32/33, 37/38. |
FPG < 7.0 and 2-h PG 8.9–11.1 |
Roche Cobas Beckman Coulter Au. Siemens Advia (hexokinase) |
|||
2. Örebro | 3565 | 24–28 | 24–28 | ≥35 | 24–28 | Yes | Yes-within 3 days | RPGe ≥ 9 mmol/L at booking, week 24, 28/29, 33, 37. |
FPG < 7.0 and 2-h PG 8.9–11.0 |
Siemens Advia (hexokinase) |
||
3. Västmanland | 3120 | 24–28 | 24–28 | > 35 | Yes | Yes | RPGe ≥ 9.0 mmol/L at booking week 25, 30, 35. |
FPG < 7.0 and 2-h PG 8.9–11. |
Beckman Coulter Au (hexokinase) |
|||
4. Dalarna | 3232 | 12–14/24–28 | 24–28 | 24–28 | > 35 | 24–28 | Yes | Yes | RPGe ≥ 9.0 mmol/L at booking, week 24, 28/29, 33, 37. |
FPG < 7.0 and/or 2-h PG 8.9–11.1 |
Siemens Advia (hexokinase) | |
5. Uppsala | 4200 | 12–14/24–28 | 24–28 | 24–28 | ≥35 | 24–28 | Yes | Yes | RPGe ≥ 8.8 mmol/L at booking, week 25, 28/29, 33, 37 | FPG ≥7.0 and/or 2-h PG ≥10.0 | Abbott Architect (hexokinase) | |
6. Göteborg | 9550 | 25–29 | 25–29 | 25–29 | ≥35 | 25–29 | Yes | (Yes) | Within 1 week if RPGe 8.0–12.1 mmol/L at first antenatal care visit, week 25, 28–29, 35–36. |
FPG ≥7.0 and/or 2-h PG ≥10.0 RPGc ≥ 12.2 |
Nova Biomedical StatStrip TM Multi-Well™ (glucose oxidase) | |
7. Gotland | 538 | 24–28 | 24–28 | 24–28 | ≥35 | 24–28 | Yes | Yes | RPGe ≥ 9.0 mmol/L at enrollment week 25, 29, 32/33, 37/38. | FPG < 7.0 and 2-h PG 8.9–11.0 | HemoCue AB HemoCue 201 RT (glucose dehydrogenase) | |
8. Halland | 4446 | 12/ 24–28 | 24–28 | 24–28 | ≥30 | 24–28 | Yes | Yes | RPGe ≥ 8.0 mmol/L at enrollment, week 12, 28/29, 32, 37 | FPG < 7.0 and 2-h PG 9.0–11.1 |
HemoCue AB HemoCue 201 RT (glucose dehydrogenase) |
|
9. Malmö | 4944 | 10–12 | 10–12 | ≥35 | 10–12 | Yes | No |
Capillary 75 g OGTT week 28 in all women. FPGe ≥ 7 and/or 2-h PGe ≥ 10.0 mmol/L indication for a diagnostic OGTT |
FPG ≥7.0 and/or 2-h PG ≥9.0 |
Roche Cobas (hexokinase) | ||
10. Lund | 3703 | 10–12 | 10–12 | ≥35 | 10–12 | Yes | No | |||||
11. Kristianstad | 2085 | 10–12 | 10–12 | ≥35 | 10–12 | Yes | No |
Legend: When not otherwise stated, glucose measurement is based on venous plasma
BMI body mass index, FH family history, FPG fasting plasma glucose, IUFD intrauterine fetal death, LGA large for gestational age, OGTT oral glucose tolerance test, PG plasma glucose, RPG random plasma glucose, T1 trimester 1
aNumber of births per year based on data from the Swedish Medical Birth register year 2017
bDefined as birth weight ≥ 4.5 kg
cDefined as birth weight ≥ + 2 standard deviations above the Swedish reference curve [31]
dIn Dalarna, Malmö, Lund, Kristianstad, Uppsala, Gotland, Halland defined as first degree relative with type 1 or type 2 diabetes, otherwise first degree relative with type 2 diabetes
eBased on capillary samples