Screening for gestational

diabetes
In rural population

AAPI Charity Clinic
Ammanpettai

Gestational diabetes is an increasing medical problem in India

Incidence in the rural population is also on the raise

Gestational diabetes is a forerunner of diabetes for both mother and the
fetus

Maternal risk factors are also increasing among the gDM

Fetus is also at a higher risk of complications


Preamble
Recurrent abortion
Genito urinary infection
Big babies
Pregnancy associated hypertension
Polyhydramnios
Preterm labour
Intrumental/ surgical delivery of baby
Adverse effects of gDM on Mother
Congenital anomalies
Recurrent pregnancy wastage
Preterm labour
Sudden IUD
Risk of development of diabetes
Adverse effects of gDM on Baby
To screen the high risk pregnant women of our village


High risks being:

1. Obese women
2. Family history of DM
3. Bad obstetric history
Proposed Study
Glucose Challenge Test


75gms of glucose is given orally irrespective of meal pattern and blood
sugar is checked 2 hrs. later

Result:
Less than 140mgm/dl is normal
More than 200mgm/dl is frank DM
Between 140-200mgm/dl is Gestational diabetes
Methadology
Between 12 weeks and 14 weeks of pregnancy

2
nd
Check at 22 to 28 weeks

3
rd
Check at 32 weeks
Timing of Glucose Challenge Test
When Gct is suggestive of gDM patient will be given advise
regarding diet, exercise and follow up.

Fasting and Post prandial Bl. Sugar will be done once in 15
days, if not controlled Insulin needs to be started.
Follow up
1. Social workers to do survey and sample collection
2. Laboratory / Glucostix
3. Medical Officer
4. Data operator
5. Transport
6. Medications

Logistics / Requirements
1. Gct is a simple screening test for diagnosis for gDM
2. Rural areas are equally prone but go undetected
3. Early diagnosis and treatment reduces maternal and
fetal mortality


Conclusion