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CONTROVERSIES IN DIAGNOSING DIABETES IN EARLY PREGNANCY

NIKA HLAČA ; University of Rijeka, School of Medicine, Rijeka, Croatia
TEA ŠTIMAC ; University of Rijeka, School of Medicine, Rijeka University Hospital Centre, Department of Gynecology and Obstetrics, Rijeka, Croatia
SANJA KLOBUČAR MAJANOVIĆ orcid.org/0000-0002-0287-4735 ; University of Rijeka, School of Medicine, Department of Internal Medicine, Department of Endocrinology, Diabetes and Metabolic Diseases, Rijeka, Croatia
DARIO RAHELIĆ ; Merkur University Hospital, Vuk Vrhovac University Department for Diabetes, Endocrinology and Metabolic Diseases and University of Zagreb, School of Medicine, Zagreb, Croatia

Abstract

The aim of this review is to draw attention to the diagnostic dilemma and inconsistency of the diagnostic criteria for diabetes in early pregnancy, used by diabetologists and gynecologists in everyday clinical practice. The lack of consistency of diagnostic criteria confuses patients and health-care providers. It is unclear whether the use of more stringent criteria results in unnecessary health-care costs and putting much pressure on women in the sensitive period of their life or, on the other hand, if not applied, underestimate hyperglycemia-related risks and results in the absence of timely intervention and consequently in a higher incidence of adverse pregnancy outcomes.

Keywords

gestational diabetes; IADPSG criteria; controversies

Hrčak ID:

231125

URI

https://hrcak.srce.hr/231125

Publication date:

5.12.2019.

Article data in other languages: croatian

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