Endocrine Abstracts

Much controversy exists surrounding, the screening, diagnosis, treatment and even existence of gestational diabetes mellitus (GDM). This study aims to compare sensitivity and cost of two screening strategy of GDM.

2416 pregnant women referred to five university hospital clinics were followed up until delivery. The universal screening performed. Obstetric and family histories were taken followed by a complete physical examination. Retrospectively were concluded results based on selective screening and were compared sensitivity of two strategy. Cost analysis was performed.

Among the 2416 pregnant women, 114 (4.7%) were diagnosed with GDM. Out of 114 GDM patients, 27 (23.6%) were younger than 25 years old and 16 (14%) did not have any recognized risk factor. Sensitivity of selective screening based on risk factors with threshold 130, 140 mg/dl estimated about 86%, 77% respectively. The direct cost per patient screening were $ 2.71, $ 2.39 for selective screening with GCT>=130 mg/dl, GCT>= 140 mg/dl respectively.

High rate of GDM among pregnant women without any risk factor, supports the performance of universal screening in our area.