Redefinition of gestational diabetes mellitus: implications for laboratory practice in Croatia |
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| Authors: | Marijana Vu?i? Lovren?i? Lorena Honovi? Sa?a Kralik Jasminka Matica Manja Pra?ek Edita Pape-Medvidovi? Marina Ivani?evi? Josip ?elmi? |
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| Institution: | 1.Institute of Clinical Chemistry and Laboratory Medicine, Merkur Teaching Hospital, Zagreb, Croatia;2.Department of Laboratory Diagnostics, Pula County Hospital, Pula, Croatia;3.Institute of Laboratory Diagnostics, University Hospital Centre, Rijeka, Croatia;4.Institute of Laboratory Diagnostics, University Hospital Centre, Zagreb, Croatia;5.Vuk Vrhovac University Clinic, Merkur Teaching Hospital, Zagreb, Croatia;6.Gynaecology and Obstetrics Clinic, University Hospital Centre, Zagreb, Croatia |
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| Abstract: | 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. |
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| Keywords: | gestational diabetes IADPSG criteria clinical laboratory techniques |
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