Screening and diagnosis of gestational diabetes mellitus in South Africa : what we know so far

Date
2019-06-28
Journal Title
Journal ISSN
Volume Title
Publisher
South African Medical Association
Abstract
ENGLISH ABSTRACT: The early detection and management of gestational diabetes mellitus (GDM) present an ideal opportunity to decrease perinatal complications and adverse long-term health outcomes in mothers and their offspring. This review describes the major GDM screening and diagnostic strategies used worldwide, including novel screening and diagnostic methods that are being explored. It highlights the varied screening and diagnostic strategies currently employed in South Africa (SA). The lack of uniform GDM diagnostic criteria and variation in clinical practice hamper early detection and management of GDM, which negatively affects maternal and child health. We recommend that an SA diabetes-in-pregnancy study group, comprising interested obstetricians, physicians, endocrinologists, public health specialists, dieticians and scientists, be established to make evidence-based recommendations on affordable, accessible and applicable GDM screening and diagnostic and management strategies.
Description
CITATION: Dias, S. et al. 2019. Screening and diagnosis of gestational diabetes mellitus in South Africa: What we know so far. South African Medical Journal, 109(7):457-462. doi:10.7196/SAMJ.2019.v109i7.14064
The original publication is available at http://www.samj.org.za/index.php/samj/index
Keywords
Medical screening, Gestational diabetes, Diabetes -- Diagnosis, Diabetes -- Treatment
Citation
Dias, S. et al. 2019. Screening and diagnosis of gestational diabetes mellitus in South Africa: What we know so far. South African Medical Journal, 109(7):457-462. doi:10.7196/SAMJ.2019.v109i7.14064