Does HbA۱c Have a Potential in Gestational Diabetes Mellitus Diagnosis?

Gestational diabetes mellitus (GDM) is considered topresence of hyperglycemia for the first time during pregnancywhich can affect up to ۵% of pregnancies (۱). Pregnantwomen with GDM are likely to develop type ۲ diabetes۶ - ۷ times more than healthy pregnant women(۲). Also, GDM causes complications such as macrocosmicneonate, preeclampsia, the need for cesarean section delivery,shoulder dystocia and even the death of neonate (۳).Risk factors that contribute to GDM include maternaloverweight, obesity, age older than ۳۵ years, family historyof diabetes, macrocosmic neonate, history of GDM inprevious pregnancies, and non-Caucasian ethnicity (۱, ۳).Based on WHO criteria, GDM is usually diagnosed at ۲۴ to۲۸ weeks of pregnancy (۴). Early diagnosis of GDM is importantnot only in the treatment of GDM and preventionof postpartum type ۲ diabetes, but also can lead to decreaseother mentioned complications (۲). Therefore, it is necessaryto provide precise index for the diagnosis of GDM,which impose the less onerousonthe pregnantmother (۵).

Keywords:

HbA۱c , Diabetes Mellitus , Diagnosis