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. 2021 Apr 15;57(4):381. doi: 10.3390/medicina57040381

Table 1.

Risk factors for diabetes proposed by different guidelines.

Committee of the Romanian Ministry of Health for Diabetes, Nutrition and Metabolic Diseases [15] ADA [9]
  • High risk factors for GDM

  • Severe obesity

  • Previous GDM or previous macrosomic baby

  • Persistent glycosuria

  • PCOS

  • Significant family history of type 2 diabetes

  • Low risk factors for GDM

  • Maternal age <25

  • Normal weight before pregnancy

  • Member of an ethnic group with a low risk of gestational diabetes

  • No family history of diabetes

  • No personal history of glucose intolerance

  • BMI > 25 kg/m2

  • Previous history of GDM

  • Family history of diabetes (1st degree relative)

  • Previous macrosomic child >9 lb (4 kg)

  • No physical activity

  • Hypertension

  • HDLc < 35 mg/dL (0.90 mmol/L) and/or triglyceride > 250 mg/dL (2.82 mmol/L)

  • PCOS

  • HbA1c ≥ 5.7% and previous IGT or IFG

  • Signs of insulin resistance such as acanthosis nigricans

  • History of cardiovascular disease

  • Ethnic backgrounds: African American, Latino, Native American, Asian American, Pacific Islander

ADIPS [13] NICE and SIGN [18,19]
  • Moderate risk factors for GDM

  • BMI 25–35 kg/m2

  • Ethnic backgrounds: Asian, Indian, aboriginal, Torres Strait Islander, Pacific Islander, Maori, Middle Eastern and non-white African

  • High risk factors for GDM

  • BMI > 35 kg/m2

  • Age ≥ 40 years

  • Previous history of GDM

  • Family history of diabetes

  • History of high blood glucose

  • History of macrosomic child ≥ 4.5 kg

  • PCOS

  • Medication: Corticosteroids, antipsychotics

  • BMI > 30 kg/m2

  • Previous GDM

  • Family history of diabetes (first-degree family member)

  • Previous macrosomic baby ≥ 4.5 kg

  • Ethnic backgrounds South Asian (India, Pakistan or Bangladesh), Black Caribbean, Middle Eastern (Saudi Arabia, United Arab Emirates, Iraq, Jordan, Syria, Oman, Qatar, Kuwait, Lebanon or Egypt)

CNGOF and SFD [20,21]
  • BMI ≥ 25 kg/m2, maternal age ≥ 35years

  • Personal history of GDM

  • Family history of diabetes

  • Previous macrosomic baby

Canadian Diabetes Association [22] FIGO [11]
  • Age > 35 years

  • High-risk ethnic origin: South Asian, African, Arab, Hispanic

  • Corticosteroid medication

  • BMI > 30 kg/m2

  • GDM in previous pregnancy

  • Previous macrosomic baby ≥ 4.0 kg

  • First-degree family history of diabetes

  • PCOS or acanthosis nigricans

  • Older age, higher parity, ethnicity

  • Obesity or excessive weight gain during current pregnancy

  • History of GDM or macrosomia

  • Family history of diabetes

  • Previous poor pregnancy outcome

  • Multiple pregnancy

CNGOF and SFD, National College of French Obstetrician Gynecologists and French-Speaking Diabetes Society; ADA, American Diabetes Association; ADIPS, Australasian Diabetes in Pregnancy Society; NICE and SIGN, National Institute for Health and Care Excellence and Scottish Intercollegiate Guidelines Network; BMI, body mass index; HDLc, high-density lipoprotein cholesterol; PCOS, polycystic ovary syndrome; HbA1c, glycated hemoglobin; IGT, impaired glucose tolerance; IFG, impaired fasting glucose, FIGO, International Federation of Gynecology and Obstetrics.