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Featured Article :. Introduction of IADPSG Criteria for the Screening and Diagnosis of Gestational Diabetes Mellitus Results in Improved Pregnancy Outcomes at a Lower Cost in a Large Cohort of Pregnant Women: The St. Carlos Gestational Diabetes Study.

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  1. Featured Article: Introduction of IADPSG Criteria for the Screening and Diagnosis of Gestational Diabetes Mellitus Results in Improved Pregnancy Outcomes at a Lower Cost in a Large Cohort of Pregnant Women: The St. Carlos Gestational Diabetes Study Alejandra Duran, Sofía Sáenz, María J. Torrejón, Elena Bordiú, Laura del Valle, Mercedes Galindo, Noelia Perez, Miguel A. Herraiz, Nuria Izquierdo, Miguel A. Rubio, Isabelle Runkle, Natalia Pérez-Ferre, Idalia Cusihuallpa, Sandra Jiménez, Nuria García de la Torre, María D. Fernández, Carmen Montañez, Cristina Familiar, and Alfonso L. Calle-Pascual Diabetes Care Volume 37: 2442-2450 September, 2014

  2. STUDY OBJECTIVE • Use of the new International Association of the Diabetes and Pregnancy Study Groups criteria (IADPSGC) for the diagnosis of gestational diabetes mellitus (GDM) results in an increased prevalence of GDM • Whether their introduction improves pregnancy outcomes has yet to be established • Cost-effectiveness was evaluated of one-step IADPSGC for screening and diagnosis of GDM compared with traditional two-step Carpenter-Coustan (CC) criteria Duran A. et al. Diabetes Care 2014;37:2442-2450

  3. STUDY DESIGN AND METHODS • GDM risk factors and pregnancy and newborn outcomes were prospectively assessed between 24 and 28 weeks of gestation in the following: • • 1,750 pregnant women from April 2011 to March 2012 using CC criteria • • 1,526 pregnant women from April 2012 to March 2013 using IADPSGC • Both groups received the same treatment and follow-up regimes Duran A. et al. Diabetes Care 2014;37:2442-2450

  4. RESULTS • Use of IADPSGC resulted in an important increase in GDM rate and an improvement in pregnancy outcomes • There was a decrease in the rate of: • Gestational hypertension • Prematurity • Cesarean section • Small-for-gestational-age infants • Large-for-gestational-age infants • Apgar 1-min score <7 • Admission to neonatal intensive care unit • Estimated cost savings was <<Insert symbol from article>>14,358.06 per 100 women evaluated using IADPSGC versus the group diagnosed using CC Duran A. et al. Diabetes Care 2014;37:2442-2450

  5. CONCLUSIONS • Application of the new IADPSGC was associated with: • A 3.5-fold increase in GDM prevalence in our study population • Significant improvements in pregnancy outcomes • Cost-effectiveness Duran A. et al. Diabetes Care 2014;37:2442-2450

  6. Duran A. et al. Diabetes Care 2014;37:2442-2450

  7. Duran A. et al. Diabetes Care 2014;37:2442-2450

  8. Duran A. et al. Diabetes Care 2014;37:2442-2450

  9. Duran A. et al. Diabetes Care 2014;37:2442-2450

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