Uvodnik

Redefinition of gestational diabetes mellitus: implications for laboratory practice in Croatia

Marijana Vučić Lovrenčić ; Institute of Clinical Chemistry and Laboratory Medicine, Merkur Teaching Hospital, Zagreb, Croatia
Lorena Honović ; Department of Laboratory Diagnostics, Pula County Hospital, Pula, Croatia
Saša Kralik ; Institute of Laboratory Diagnostics, University Hospital Centre, Zagreb, Croatia
Jasminka Matica ; Institute of Laboratory Diagnostics, University Hospital Centre, Rijeka, Croatia
Manja Prašek ; Vuk Vrhovac University Clinic, Merkur Teaching Hospital, Zagreb, Croatia
Edita Pape-Medvidović ; Vuk Vrhovac University Clinic, Merkur Teaching Hospital, Zagreb, Croatia
Marina Ivanišević ; Gynaecology and Obstetrics Clinic, University Hospital Centre, Zagreb, Croatia
Josip Đelmiš ; Gynaecology and Obstetrics Clinic, University Hospital Centre, Zagreb, Croatia

Sažetak

An increasing prevalence of gestational diabetes has become a very challenging task in prenatal care worldwide. International Association of Diabetes and Pregnancy Study Groups (IADPSG) has recently issued recommendations on the diagnosis and classification of hyperglycaemia in pregnancy. These recommendations, the first to provide harmonised, evidence-based criteria for the diagnosis and classification of diabetes in pregnancy, are currently being discussed and accepted worldwide by the relevant authorities. As the acceptance of the proposed criteria has major implications for both clinical and laboratory settings, a concerted action towards necessary changes in practice has to be carefully planned and adjusted to national health-care specificities.
IADPSG criteria have been strongly advocated by the Croatian Perinatology Society, resulting in a new strategy for the detection and diagnosis of hyperglycaemic disorders in pregnancy.
To address the respective laboratory requirements, in April 2012, the Croatian Chamber of Medical Biochemists appointed a Working Group to provide a standardised procedure for the diagnosis of gestational diabetes, applicable to all laboratories involved in prenatal care, in both primary and specialised health-care facilities.
In this paper we discuss key laboratory-related issues regarding succesful implementation of the IADPSG criteria in Croatia.

Ključne riječi

gestational diabetes; IADPSG criteria; clinical laboratory techniques

Hrčak ID:

97132

URI

https://hrcak.srce.hr/97132

Datum izdavanja:

15.2.2013.

Posjeta: 1.309 *