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Diabetes Res Clin Pract. 2014 Mar;103(3):364-72. doi: 10.1016/j.diabres.2014.02.012. Epub 2014 Feb 25.

Strategies for implementing the WHO diagnostic criteria and classification of hyperglycaemia first detected in pregnancy.

Author information

  • 1Boden Institute of Obesity, Nutrition and Exercise, The University of Sydney, Sydney, Australia. Electronic address: stephen.colagiuri@sydney.edu.au.
  • 2Post Graduate Program in Epidemiology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
  • 3Faculty of Medicine, UAE University, Al Ain, United Arab Emirates.
  • 4Service d'Obstétrique Maternité HUG, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
  • 5Department Obstetrics & Gynaecology, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa.
  • 6Helen Schneider Hospital for Women, Rabin Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, Petah-Tiqva, Tel-Aviv, Israel.
  • 7Department of Medicine, McGill University, Montreal, Canada; Department of Obstetrics and Gynaecology, McGill University, Montreal, Canada.
  • 8Northwestern University, Feinberg School of Medicine, Chicago, United States.
  • 9Tokyo Women's Medical University, Diabetes Center, Ebina General Hospital, Tokyo, Japan.
  • 10Rīga East Clinical University Hospital, Rīga Stradiņš University, Rīga, Latvia.
  • 11Diabetes Research Institute, Dr Balaji Diabetes Care Centre, Chennai, India.
  • 12Institute of Metabolic Science, Cambridge University Hospitals, National Health Services Foundation Trust, Cambridge, United Kingdom.
  • 13Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Cameroon; Institute of Health and Society, Newcastle University, Newcastle, United Kingdom.
  • 14Department of Obstetrics, São Paulo Federal University, São Paulo, Brazil.
  • 15Peking University First Hospital, Beijing, China.


The World Health Organization (WHO) has recently released updated recommendations on Diagnostic Criteria and Classification of Hyperglycaemia First Detected in Pregnancy which are likely to increase the prevalence of gestational diabetes mellitus (GDM). Any increase in the number of women with GDM has implications for health services since these women will require treatment and regular surveillance during the pregnancy. Some health services throughout the world may have difficulty meeting these demands since country resources for addressing the diabetes burden are finite and resource allocation must be prioritised by balancing the need to improve care of people with diabetes and finding those with undiagnosed diabetes, including GDM. Consequently each health service will need to assess their burden of hyperglycaemia in pregnancy and decide if and how it will implement programmes to test for and treat such women. This paper discusses some considerations and options to assist countries, health services and health professionals in these deliberations.

Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.


Diagnostic criteria; Hyperglycaemia in pregnancy; Implementation

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