Review of FIGO & ADA, WHO, IADPSG Guidelines for GDM for Low Resource Setting and Integration of DIPSI with MOHFW Govt of India, Guidelines

Rajesh Jain; Susanne Olejas; Lee Sam Goo; N. Bhavatharinin; Ashish S. Dengra; Reza Shoghli; Sanjeev Davey; Rachna Jain

doi:doi:10.11648/j.ijde.20190403.12

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Review of FIGO & ADA, WHO, IADPSG Guidelines for GDM for Low Resource Setting and Integration of DIPSI with MOHFW Govt of India, Guidelines

Rajesh Jain, Susanne Olejas, Lee Sam Goo, N. Bhavatharinin, Ashish S. Dengra, Reza Shoghli, Sanjeev Davey, Rachna Jain

Published in International Journal of Diabetes and Endocrinology (Volume 4, Issue 3)

Received: 21 May 2019 Accepted: 19 July 2019 Published: 4 September 2019

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Abstract

OGTT is performed in pregnant women by measuring the plasma glucose in fasting or non-fasting after 2-hour ingesting 75 grams of glucose (Monohydrate Dextrose Anhydrous). For diagnosing gestational diabetes (GDM) Indian Guidelines (DIPSI Test) are simple and can be done easily in low resource setting where large number of pregnant women visit for ANC check-up. The severity of GDM increases because of the action of insulin is diminished (insulin resistance) due to raised hormone secretion by the placenta. Other risk factors for GDM are being elderly, increased BMI, or obesity, weight gain in pregnancy, history of diabetes in family, stillbirth or a congenital abnormality in previous deliveries. GDM has previously been considered to be transient during pregnancy and resolve after pregnancy but, pregnant women with hyperglycaemia are at higher risk of developing GDM in subsequent pregnancies and about half of the women with a history of GDM will develop type II Diabetes within five to ten years after delivery. DIPSI simple testing protocol is endorsed by the National Health Mission (GOI) Guideline on GDM, and also endorsed by the FIGO guideline on HIP for use in South Asia. This testing protocol has been followed by Sri Lanka, Pakistan and Bangladesh in the region. Tamil-Nadu state and Uttar Pradesh states in India launched a Universal GDM Program in 2007 and 2016 respectively, covering all pregnancies by testing and managing GDM with MNT, Metformin and Insulin in most of health care facilities. Around 28,000 ANM have been given glucometers, strips, glucose 75 gm packets for implementation of the largest GDM program in Uttar Pradesh, India to date.

Published in	International Journal of Diabetes and Endocrinology (Volume 4, Issue 3)
DOI	10.11648/j.ijde.20190403.12
Page(s)	73-82
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

FIGO Guidelines, WHO, DIPSI, GDM, HIP, DIP, NHM, MOHFW, GOI, IADPSG, ACOG, IDF, ANM, ADA, Sub-Center, NICE, CDA

References

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APA Style

Rajesh Jain, Susanne Olejas, Lee Sam Goo, N. Bhavatharinin, Ashish S. Dengra, et al. (2019). Review of FIGO & ADA, WHO, IADPSG Guidelines for GDM for Low Resource Setting and Integration of DIPSI with MOHFW Govt of India, Guidelines. International Journal of Diabetes and Endocrinology, 4(3), 73-82. https://doi.org/10.11648/j.ijde.20190403.12

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ACS Style

Rajesh Jain; Susanne Olejas; Lee Sam Goo; N. Bhavatharinin; Ashish S. Dengra, et al. Review of FIGO & ADA, WHO, IADPSG Guidelines for GDM for Low Resource Setting and Integration of DIPSI with MOHFW Govt of India, Guidelines. Int. J. Diabetes Endocrinol. 2019, 4(3), 73-82. doi: 10.11648/j.ijde.20190403.12

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AMA Style

Rajesh Jain, Susanne Olejas, Lee Sam Goo, N. Bhavatharinin, Ashish S. Dengra, et al. Review of FIGO & ADA, WHO, IADPSG Guidelines for GDM for Low Resource Setting and Integration of DIPSI with MOHFW Govt of India, Guidelines. Int J Diabetes Endocrinol. 2019;4(3):73-82. doi: 10.11648/j.ijde.20190403.12

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@article{10.11648/j.ijde.20190403.12,
  author = {Rajesh Jain and Susanne Olejas and Lee Sam Goo and N. Bhavatharinin and Ashish S. Dengra and Reza Shoghli and Sanjeev Davey and Rachna Jain},
  title = {Review of FIGO & ADA, WHO, IADPSG Guidelines for GDM for Low Resource Setting and Integration of DIPSI with MOHFW Govt of India, Guidelines},
  journal = {International Journal of Diabetes and Endocrinology},
  volume = {4},
  number = {3},
  pages = {73-82},
  doi = {10.11648/j.ijde.20190403.12},
  url = {https://doi.org/10.11648/j.ijde.20190403.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijde.20190403.12},
  abstract = {OGTT is performed in pregnant women by measuring the plasma glucose in fasting or non-fasting after 2-hour ingesting 75 grams of glucose (Monohydrate Dextrose Anhydrous). For diagnosing gestational diabetes (GDM) Indian Guidelines (DIPSI Test) are simple and can be done easily in low resource setting where large number of pregnant women visit for ANC check-up. The severity of GDM increases because of the action of insulin is diminished (insulin resistance) due to raised hormone secretion by the placenta. Other risk factors for GDM are being elderly, increased BMI, or obesity, weight gain in pregnancy, history of diabetes in family, stillbirth or a congenital abnormality in previous deliveries. GDM has previously been considered to be transient during pregnancy and resolve after pregnancy but, pregnant women with hyperglycaemia are at higher risk of developing GDM in subsequent pregnancies and about half of the women with a history of GDM will develop type II Diabetes within five to ten years after delivery. DIPSI simple testing protocol is endorsed by the National Health Mission (GOI) Guideline on GDM, and also endorsed by the FIGO guideline on HIP for use in South Asia. This testing protocol has been followed by Sri Lanka, Pakistan and Bangladesh in the region. Tamil-Nadu state and Uttar Pradesh states in India launched a Universal GDM Program in 2007 and 2016 respectively, covering all pregnancies by testing and managing GDM with MNT, Metformin and Insulin in most of health care facilities. Around 28,000 ANM have been given glucometers, strips, glucose 75 gm packets for implementation of the largest GDM program in Uttar Pradesh, India to date.},
 year = {2019}
}

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T1  - Review of FIGO & ADA, WHO, IADPSG Guidelines for GDM for Low Resource Setting and Integration of DIPSI with MOHFW Govt of India, Guidelines
AU  - Rajesh Jain
AU  - Susanne Olejas
AU  - Lee Sam Goo
AU  - N. Bhavatharinin
AU  - Ashish S. Dengra
AU  - Reza Shoghli
AU  - Sanjeev Davey
AU  - Rachna Jain
Y1  - 2019/09/04
PY  - 2019
N1  - https://doi.org/10.11648/j.ijde.20190403.12
DO  - 10.11648/j.ijde.20190403.12
T2  - International Journal of Diabetes and Endocrinology
JF  - International Journal of Diabetes and Endocrinology
JO  - International Journal of Diabetes and Endocrinology
SP  - 73
EP  - 82
PB  - Science Publishing Group
SN  - 2640-1371
UR  - https://doi.org/10.11648/j.ijde.20190403.12
AB  - OGTT is performed in pregnant women by measuring the plasma glucose in fasting or non-fasting after 2-hour ingesting 75 grams of glucose (Monohydrate Dextrose Anhydrous). For diagnosing gestational diabetes (GDM) Indian Guidelines (DIPSI Test) are simple and can be done easily in low resource setting where large number of pregnant women visit for ANC check-up. The severity of GDM increases because of the action of insulin is diminished (insulin resistance) due to raised hormone secretion by the placenta. Other risk factors for GDM are being elderly, increased BMI, or obesity, weight gain in pregnancy, history of diabetes in family, stillbirth or a congenital abnormality in previous deliveries. GDM has previously been considered to be transient during pregnancy and resolve after pregnancy but, pregnant women with hyperglycaemia are at higher risk of developing GDM in subsequent pregnancies and about half of the women with a history of GDM will develop type II Diabetes within five to ten years after delivery. DIPSI simple testing protocol is endorsed by the National Health Mission (GOI) Guideline on GDM, and also endorsed by the FIGO guideline on HIP for use in South Asia. This testing protocol has been followed by Sri Lanka, Pakistan and Bangladesh in the region. Tamil-Nadu state and Uttar Pradesh states in India launched a Universal GDM Program in 2007 and 2016 respectively, covering all pregnancies by testing and managing GDM with MNT, Metformin and Insulin in most of health care facilities. Around 28,000 ANM have been given glucometers, strips, glucose 75 gm packets for implementation of the largest GDM program in Uttar Pradesh, India to date.
VL  - 4
IS  - 3
ER  -

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Author Information

Rajesh Jain

Gestational Diabetes Prevention Control Project, Maternal Health, National Health Mission, Lucknow, India
Susanne Olejas

World Diabetes Foundation, Copenhagen, Denmark
Lee Sam Goo

239 Bio Inc, Jangsu-eup, South Korea
N. Bhavatharinin

S. R. C. Diabetes Care Centre, Erode, India
Ashish S. Dengra

Department of Medicine, Mahi Diabetes Thyroid Care & Research Centre, Jabalpur, India
Reza Shoghli

Department of Cardiology, Tehran Heart Center, Azad University of Tehran, Central Branch, Iran
Sanjeev Davey

Department of Community Medicine, Muzaffarnagar Medical College, Muzaffarnagar, India
Rachna Jain

Department of Obstetrics & Gynecology, Jain Hospital, Kanpur, India

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Plain Text BibTeX RIS

APA Style

Rajesh Jain, Susanne Olejas, Lee Sam Goo, N. Bhavatharinin, Ashish S. Dengra, et al. (2019). Review of FIGO & ADA, WHO, IADPSG Guidelines for GDM for Low Resource Setting and Integration of DIPSI with MOHFW Govt of India, Guidelines. International Journal of Diabetes and Endocrinology, 4(3), 73-82. https://doi.org/10.11648/j.ijde.20190403.12

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ACS Style

Rajesh Jain; Susanne Olejas; Lee Sam Goo; N. Bhavatharinin; Ashish S. Dengra, et al. Review of FIGO & ADA, WHO, IADPSG Guidelines for GDM for Low Resource Setting and Integration of DIPSI with MOHFW Govt of India, Guidelines. Int. J. Diabetes Endocrinol. 2019, 4(3), 73-82. doi: 10.11648/j.ijde.20190403.12

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AMA Style

Rajesh Jain, Susanne Olejas, Lee Sam Goo, N. Bhavatharinin, Ashish S. Dengra, et al. Review of FIGO & ADA, WHO, IADPSG Guidelines for GDM for Low Resource Setting and Integration of DIPSI with MOHFW Govt of India, Guidelines. Int J Diabetes Endocrinol. 2019;4(3):73-82. doi: 10.11648/j.ijde.20190403.12

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@article{10.11648/j.ijde.20190403.12,
  author = {Rajesh Jain and Susanne Olejas and Lee Sam Goo and N. Bhavatharinin and Ashish S. Dengra and Reza Shoghli and Sanjeev Davey and Rachna Jain},
  title = {Review of FIGO & ADA, WHO, IADPSG Guidelines for GDM for Low Resource Setting and Integration of DIPSI with MOHFW Govt of India, Guidelines},
  journal = {International Journal of Diabetes and Endocrinology},
  volume = {4},
  number = {3},
  pages = {73-82},
  doi = {10.11648/j.ijde.20190403.12},
  url = {https://doi.org/10.11648/j.ijde.20190403.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijde.20190403.12},
  abstract = {OGTT is performed in pregnant women by measuring the plasma glucose in fasting or non-fasting after 2-hour ingesting 75 grams of glucose (Monohydrate Dextrose Anhydrous). For diagnosing gestational diabetes (GDM) Indian Guidelines (DIPSI Test) are simple and can be done easily in low resource setting where large number of pregnant women visit for ANC check-up. The severity of GDM increases because of the action of insulin is diminished (insulin resistance) due to raised hormone secretion by the placenta. Other risk factors for GDM are being elderly, increased BMI, or obesity, weight gain in pregnancy, history of diabetes in family, stillbirth or a congenital abnormality in previous deliveries. GDM has previously been considered to be transient during pregnancy and resolve after pregnancy but, pregnant women with hyperglycaemia are at higher risk of developing GDM in subsequent pregnancies and about half of the women with a history of GDM will develop type II Diabetes within five to ten years after delivery. DIPSI simple testing protocol is endorsed by the National Health Mission (GOI) Guideline on GDM, and also endorsed by the FIGO guideline on HIP for use in South Asia. This testing protocol has been followed by Sri Lanka, Pakistan and Bangladesh in the region. Tamil-Nadu state and Uttar Pradesh states in India launched a Universal GDM Program in 2007 and 2016 respectively, covering all pregnancies by testing and managing GDM with MNT, Metformin and Insulin in most of health care facilities. Around 28,000 ANM have been given glucometers, strips, glucose 75 gm packets for implementation of the largest GDM program in Uttar Pradesh, India to date.},
 year = {2019}
}

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TY  - JOUR
T1  - Review of FIGO & ADA, WHO, IADPSG Guidelines for GDM for Low Resource Setting and Integration of DIPSI with MOHFW Govt of India, Guidelines
AU  - Rajesh Jain
AU  - Susanne Olejas
AU  - Lee Sam Goo
AU  - N. Bhavatharinin
AU  - Ashish S. Dengra
AU  - Reza Shoghli
AU  - Sanjeev Davey
AU  - Rachna Jain
Y1  - 2019/09/04
PY  - 2019
N1  - https://doi.org/10.11648/j.ijde.20190403.12
DO  - 10.11648/j.ijde.20190403.12
T2  - International Journal of Diabetes and Endocrinology
JF  - International Journal of Diabetes and Endocrinology
JO  - International Journal of Diabetes and Endocrinology
SP  - 73
EP  - 82
PB  - Science Publishing Group
SN  - 2640-1371
UR  - https://doi.org/10.11648/j.ijde.20190403.12
AB  - OGTT is performed in pregnant women by measuring the plasma glucose in fasting or non-fasting after 2-hour ingesting 75 grams of glucose (Monohydrate Dextrose Anhydrous). For diagnosing gestational diabetes (GDM) Indian Guidelines (DIPSI Test) are simple and can be done easily in low resource setting where large number of pregnant women visit for ANC check-up. The severity of GDM increases because of the action of insulin is diminished (insulin resistance) due to raised hormone secretion by the placenta. Other risk factors for GDM are being elderly, increased BMI, or obesity, weight gain in pregnancy, history of diabetes in family, stillbirth or a congenital abnormality in previous deliveries. GDM has previously been considered to be transient during pregnancy and resolve after pregnancy but, pregnant women with hyperglycaemia are at higher risk of developing GDM in subsequent pregnancies and about half of the women with a history of GDM will develop type II Diabetes within five to ten years after delivery. DIPSI simple testing protocol is endorsed by the National Health Mission (GOI) Guideline on GDM, and also endorsed by the FIGO guideline on HIP for use in South Asia. This testing protocol has been followed by Sri Lanka, Pakistan and Bangladesh in the region. Tamil-Nadu state and Uttar Pradesh states in India launched a Universal GDM Program in 2007 and 2016 respectively, covering all pregnancies by testing and managing GDM with MNT, Metformin and Insulin in most of health care facilities. Around 28,000 ANM have been given glucometers, strips, glucose 75 gm packets for implementation of the largest GDM program in Uttar Pradesh, India to date.
VL  - 4
IS  - 3
ER  -

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