Papers Screening for gestational diabetes mellitus: the Sri Lankan experience

Abstract

Objective To evaluate tests used for screening and confirmation of gestational diabetes mellitus (GDM) in Sri Lanka. Methods Field based: Consecutive pregnant women in Homagama DDHS area (n = 853), were assessed for risk factors and subjected to random and postprandial urinary Benedict’s and Dipstick ® tests, fasting and 2 hour post 75 g glucose capillary blood glucose (FBG and 2 hBG) which were validated against 75 g oral glucose tolerance test (OGTT) performed at 24–28 weeks (WHO criteria). Hospital based: Retrospective analysis of consecutive high-risk women (n = 999) and prospective study of randomly selected GDM women (n = 66) to assess predictive value of the OGTT. Results Field based: Sensitivity and specificity respectively of random urine Benedict’s, 10%, 99.2%; postprandia