The Australasian Diabetes in Pregnancy Society (ADIPS) has released their latest consensus recommendations for the screening, diagnosis and classification of gestational diabetes (GDM), the changes aim to focus care where it is needed the most.
Under the new guidelines, GDM is diagnosed if any one of the following criteria is met during a glucose tolerance test:
- Fasting plasma glucose (FPG):≥5.3–6.9 mmol/L
- 1-hour plasma glucose (1hPG): ≥10.6 mmol/L
- 2-hour plasma glucose (2hPG): ≥9.0–11.0 mmol/L
All women (without diabetes already detected in the current pregnancy) should be advised to undergo a 75 g two‐hour POGTT at 24–28 weeks’ gestation.
The updated diagnostic criteria aim to better focus care on women and babies at higher risk of complications, while minimising unnecessary interventions for those at lower risk. These changes are also intended to ease the burden on healthcare providers and services.
Implementation will take place over the coming months. ACCHO midwives, AHPs, and GPs are encouraged to review the changes, so they can provide the latest advice to pregnant women in their care.
