Screening and diagnosis of gestational diabetes mellitus in South Africa : what we know so far

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Authors

Dias, Stephanie Charmaine
Pheiffer, Carmen
Rheeder, Paul
Adam, Sumaiya

Journal Title

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Publisher

Health and Medical Publishing Group

Abstract

The early detection and management of gestational diabetes mellitus (GDM) present an ideal opportunity to decrease perinatal complications and adverse long-term health outcomes in mothers and their offspring. This review describes the major GDM screening and diagnostic strategies used worldwide, including novel screening and diagnostic methods that are being explored. It highlights the varied screening and diagnostic strategies currently employed in South Africa (SA). The lack of uniform GDM diagnostic criteria and variation in clinical practice hamper early detection and management of GDM, which negatively affects maternal and child health. We recommend that an SA diabetes-in-pregnancy study group, comprising interested obstetricians, physicians, endocrinologists, public health specialists, dieticians and scientists, be established to make evidence-based recommendations on affordable, accessible and applicable GDM screening and diagnostic and management strategies.

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Keywords

Screening, Diagnosis, Gestational diabetes mellitus (GDM), South Africa (SA)

Sustainable Development Goals

Citation

Dias, S., Pheiffer, C., Rheeder, P. et al. 2019, ' Screening and diagnosis of gestational diabetes mellitus in South Africa: what we know so far', South African Medical Journal, vol. 109, no. 7, pp. 457-462.