妊娠糖尿病（GDM)診断: IADPSGCクライテリアは診断頻度増やすが、アウトカム・コスト効果に優れる

 妊娠糖尿病（GDM)診断に関する、International Association of the Diabetes and Pregnancy Study Groups criteria (IADPSGC)は妥当らしい

３．５倍ほど頻度増加させるが、妊娠アウトカム、コスト効果的であるという結論

Introduction of IADPSG Criteria for the Screening and Diagnosis of Gestational Diabetes Mellitus Results in Improved Pregnancy Outcomes at a Lower Cost in a Large Cohort of Pregnant Women: The St. Carlos Gestational Diabetes Study
Published online before print June 19, 2014, 
doi: 10.2337/dc14-0179 
Diabetes Care September 2014 vol. 37 no. 9 2442-2450 

診断頻度：
IADPSG criteria  19.9％　vs　 ADA criteria  7.98％


Adverse pregnancy outcomes (APOs)検出頻度はIADPSG criteriaが良好
(odds ratio (OR)=1.84, 95%信頼区間 (CI): 1.52–2.25 for IADPSG, and OR=1.54, 95% CI: 1.16–2.05 for ADA)

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IADPSGCクライテリア
http://care.diabetesjournals.org/content/33/3/676/T1.expansion.html