Criteria for Screening Tests for Gestational Diabetes

Am J Obstet Gynecol. 1982 Dec 1;144(7):768-73. doi: 10.1016/0002-9378(82)90349-0.

Abstract

A 50 gm, 1-hour glucose screening test was given to 381 gravid women 25 years of age or older. All women with plasma glucose values greater than or equal to 130 mg/dl (119 mg/dl, whole blood) were given a 100 gm, 3-hour glucose tolerance test to diagnose gestational glucose intolerance using O'Sullivan's diagnostic criteria. On the basis of the distribution of screening test values, three diagnostic zones could be identified: a zone below 135 mg/dl plasma glucose, with less than 1% probability of diabetes; a zone above 182 mg/dl plasma glucose, with more than 95% probability of diabetes; and a central zone of uncertainty (135 to 182 mg/dl, plasma glucose), where further testing is required. These test results suggest that thresholds for further testing be lowered from 143 to 135 mg/dl of plasma glucose.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • False Positive Reactions
  • Female
  • Glucose Tolerance Test / methods*
  • Humans
  • Mass Screening
  • Pregnancy
  • Pregnancy in Diabetics / diagnosis*
  • Pregnancy in Diabetics / epidemiology