Gestational Diabetes Mellitus Screening in Saudi Arabia New vs Old Values and Their Maternal and Fetal Outcomes

Introduction

  • Study Background:
    The study aimed to assess whether the adoption of new screening values for GDM (FBS ≥ 5.1 mmol/L and 2-hour postprandial ≥ 8.5 mmol/L) led to better pregnancy outcomes. Data from the years 2013-2014 were compared with previous years, revealing a higher detection rate of GDM and a reduction in complications.
  • Key Findings:
    • 23.9% of patients were diagnosed with GDM in 2013-2014, compared to 14.5% in previous studies.
    • The majority of patients managed GDM through diet and exercise, with only 24% requiring insulin.
    • A reduction in postpartum hemorrhage (5.7%) and fewer cesarean sections (27%) was observed.
    • The study also highlighted a rise in NICU admissions due to hyperbilirubinemia.
  • Broader Implications:
    Universal screening using the new IADPSG guidelines may contribute to improved outcomes by detecting GDM earlier, potentially reducing the long-term risks for both mothers and babies.

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