Prevalence of gestational diabetes mellitus in Argentina according to the Latin American Diabetes Association (ALAD) and International Association of Diabetes and Pregnancy Study Groups (IADPSG) diagnostic criteria and the associated maternal-neonatal complications

Abstract

In Argentina, gestational diabetes mellitus (GDM) is diagnosed by the Latin American Diabetes Association (ALAD) diagnostic criterion. In this work, we investigated GDM prevalence according to the ALAD and IADPSG diagnostic criteria, evaluated maternal and fetal outcomes and assessed whether fasting glycemia between 92–99 mg/dL was associated with increased risk of macrosomia and maternal obesity/overweight in an Argentine cohort of pregnant women. GDM prevalence was 9.8% with the ALAD diagnostic criterion and 25% considering the IADPSG criterion. Increased prevalence of maternal obesity/overweight was observed in patients with fasting glycemia over 99 mg/dL. A population of high metabolic risk is identified by the ALAD criterion.

Disclosure statement

The authors declare that they have no competing interests.

Supporting Information

DPSG-SAD Group

Writing group: Silvia Gorban de Lapertosa¹, Stella Sucani², Susana Salzberg³, Jorge Alvariñas⁴, Cristina Faingold⁵, Alicia Jawerbaum⁶, and Gabriela Rovira⁷

Contributing group: Liliana Glatstein⁸, Maria Natalia Maccio⁸, Irene Coniberti⁸, Adriana Bartolin⁸, Estrella Silvia Zamory⁸, Maria Laura Lewin⁹, Dario Aguera⁹, Rosana Fullone⁹, Richter Garcia⁹, Murno Mercedes⁹, Yanarella Corina Graciela⁹, Maria Ines Argerich¹⁰, David Raul¹⁰, Claudia Pare¹¹, Maria Marta Curet¹², Mónica Rosana Virga¹³, Mónica Chiocconi¹³, Maria Celeste Goedelmann¹³, Patricia Glikman¹³, Alicia Gauna¹³, Alejandro Hakim¹³, Susana Martinez¹³, Gabriela Malfetano¹³, Gustavo Pintos¹³, Gabriela Portunato¹³, Claudia Scalise¹³, Magdalena Rey¹⁴, Josefina Bomarito¹⁴, Maria Paula Esteban¹⁴, Ricardo Illia¹⁴, Guillermo Lobenstein¹⁴, Maria Pia Lozano Bullrich¹⁴, Maria Paz Martinez¹⁴, Magdalena Menises¹⁴, Josefina Pozzo¹⁴, Silvana Maniá¹⁵, Fabiana Masjoan ¹⁶, Carolina FuxOtta¹⁷, Rodolfo Mengual¹⁷, Liliana Cervetta¹⁷, Maria Liliana Propato¹⁸, Martin José Ochandorena¹⁸, Sandra Roveda¹⁸, Lorna Ponce Gomez ¹⁸, Marta Gomez Flores¹⁸, Carolina Farias¹⁹, and Celina Bertona²⁰

¹Facultad de Medicina UNNE, Corrientes, Argentina

²Hospital Materno Provincial Dr R F Lucini, Córdoba, Argentina

³Department of Clinical Investigations, Instituto Centenario, Buenos Aires, Argentina

⁴Nutrition Department, Enrique Tornu Hospital, Buenos Aires, Argentina

⁵Endocrinology Service, Dr. Milstein Hospital, Buenos Aires, Argentina

⁶Laboratory of Reproduction and Metabolism, CEFYBO, Universidad de Buenos Aires, Facultad de Medicina and CONICET-Universidad de Buenos Aires, Buenos Aires, Argentina

⁷Department of Endocrinology, Diabetes, Metabolism and Nutrition, British Hospital, Buenos Aires, Argentina

⁸Hospital Materno Provincial Dr. R. F. Lucini, Córdoba, Argentina

⁹Hospital Municipal Dr. R. Santamarina, Buenos Aires, Argentina

¹⁰Hospital Perrupato San Martín, Mendoza, Argentina

¹¹Hospital JR Vidal, Corrientes, Argentina

¹³Hospital Ramos Mejía, Buenos Aires, Argentina

¹⁴Hospital Alemán, Buenos Aires, Argentina

¹⁵Maternidad Municipal Eva Perón Malvinas Argentinas, Buenos Aires, Argentina

¹⁶Hospital J.B. Iturraspe, Santa Fe, Argentina

¹⁷Hospital Universitario de Maternidad y Neonatología, Córdoba, Argentina

¹⁸Hospital Materno Neonatal Dr. Ramón Carrillo, Córdoba, Argentina

¹⁹Maternidad Provincial 25 de Mayo, Catamarca, Argentina

²⁰Hospital Universitario, Universidad Nacional de Cuyo, Mendoza, Argentina

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Additional information

Funding

This study was supported, in part, by grants from the Argentine Society of Diabetes (SAD022-2012).