Table 2.
Fasting | 1 h | 2 h | 3 h | Number of Values for Diagnosis | |
---|---|---|---|---|---|
Criteria | mg/dL (mmol/L) | mg/dL (mmol/L) | mg/dL (mmol/L) | mg/dL (mmol/L) | |
ADA/ACOG 3 2003, 2018 | 95 (5.3) | 180 1 (10.0 1) | 155 (8.6) | 140 (7.8) | 2 |
ADIPS 2014 | 92 (5.1) | 180 (10.0) | 153 (8.5) | - (-) | 1 |
DCCPG 2018 4 | 95 (5.3) | - (10.6) | - (9.0) | - (-) | 1 |
DIPSI 2014 5 | - (-) | - (-) | 140 (7.8) | - (-) | 1 |
EASD 1991 | 110 1/126 (6.1 1/7.0) | - (-) | 162 1/180 (9.0 1/10.0) | - (-) | 1 |
FIGO 2015 | 92 (5.1) | 180 (10.0) | 153 (8.5) | - (-) | 1 |
WHO 1998 | 110 2/126 (6.1 2/7.0) | - (-) | 120 2/140 (6.7 2/7.8) | - (-) | 1 |
WHO 2013 | 92 (5.1) | 180 1 (10.0 1) | 153 (8.5) | - (-) | 1 |
IADPSG/WHO | 92 (5.1) | 180 1 (10.0 1) | 153 (8.5) | - (-) | 1 |
NICE | - (5.6) | - (-) | - (7.8) | - (-) |
Notes: ADA—American Diabetes Association, ACOG—American College of Obstetricians and Gynecologists, DCCPG—Diabetes Canada Clinical Practice Guidelines, DIPSI—Diabetes in Pregnancy Society Group India, EASD—European Association for the Study of Diabetes, FIGO—International Federation of Gynecology and Obstetrics, ADIPS—Australasian Diabetes in Pregnancy Society, WHO—World Health Organization, IADPSG—International Association of the Diabetes and Pregnancy Study Groups, NICE—National Institute for Health and Care Excellence. 1 There are no established criteria for the diagnosis of diabetes mellitus in pregnancy based on a 1 h post-load value. 2 Refers to the whole blood glucose level. 3 Recommends either the IADPSG one-step or two-step approach; initial screening by measuring plasma or serum glucose concentration 1 h after a 50 g oral glucose load (GCT). Those exceeding the cut-off perform either a 100 g OGTT or 75 g OGTT, requiring two or more venous plasma concentrations to be met or exceed the threshold. 4 Listed in the preferred approach, the alternate approach is the IADPSG, which uses a non-fasting 75 g OGTT. 5 Uses a non-fasting 75 g OGTT.