Screening for gestational diabetes mellitus and its prevalence in Bangladesh

Background: The prevalence of gestational diabetes mellitus (GDM) has important health complications for both mother and child and is increasing all over the world. Although prevalence estimates for GDM are not new in developed and many developing countries, data are lacking for many low-income countries like Bangladesh. Objective: To evaluate the prevalence of GDM in Bangladesh. Research design and methods: This cross-sectional study included 3447 women who consecutively visited the antenatal clinics with an average gestation age of 26 weeks. GDM was defined according to WHO criteria (fasting plasma glucose [FPG] >= 7.0 mmol/L or 2-h >= 7.8 mmol/L) and the new ADA criteria (FPG >= 5.3 mmol/L or 2-h >= 8.6 mmol/L OGTT). We also calculated overt diabetes as FPG >= 7.0 mmol/L. Results: Prevalence of GDM was 9.7% according to the WHO criteria and 12.9% according to the ADA criteria in this study population. Prevalence of overt diabetes was 1.8%. Women with GDM were older, higher educated, had higher household income, higher parity, parental history of diabetes, and more hypertensive, compared with non-GDM women. Conclusion: This study demonstrates a high prevalence of GDM in Bangladesh. These estimates for GDM may help to formulate new policies to prevent and manage diabetes. (C) 2013 Elsevier Ireland Ltd. All rights reserved.