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TARGET BLOOD GLUCOSE LEVELS during INTRA UTERINE PERIOD and continue through
out life from early childhood.
(Balaji V, Balaji MS, Seshiah V, Mukundan S, DattaM.
Diabetes Res ClinPract. 2006 Aug;73(2):223-4. ) (Tuomilehto J. A paradigm shift is needed in the pri-
mary prevention of Type 2 DM, Prevention of DM,
(V. Seshiah, AK Das, Balaji V, Shashank Joshi, MN John Wiley & sons limited, 153-165; 2005)
Parikh, Sunil Gupta for DIPSI. GDM- Guidelines. JAPI
vol 54, 2006, 622-28) GDM offers an important opportunity for the
development, testing and implementation of clinical
(Oded Langer.Maternal glycemic criteria for insulin strategies for diabetes prevention and NCD.
therapy in GDM.Diabetes care, vol 21 (2), August 1998.
B91-98.) (Thomas A Buchanan, Anny Xiang, Siri L Kjos, Rich-
ard Watanabe. “What is gestational diabetes?” Dia-
* Birth weight between2.5 and 3.5 Kg betes Care 30(2): S105-111, July 2007)
(Vinod K Paul, Ashok K Deorari, Meharban Singh.
Management of Low Birth Weight Babies. In: IAP Screening strategy
Textbook of Pediatrics. 2nd ed. A. Parthasarathy, ed- The current practices for testing for hyperglycaemia
itor.Jaypee publications, 2002, p60.) in pregnancy (hip) in the medical college institutions
in india
* Prevalence of diabetes during pregnancy in women
according to their birth weights ( J. Evid. Based Med. Healthc., pISSN- 2349-2562,
eISSN- 2349-2570/ Vol. 4/Issue 19/April 06, 2017
(David J Pettitt et al, Diabetes Care, Vol 21(2), Aug
1998; B138-141) Hema Divakar1, Shelly Dutta2, Uday Thanawala3 )

* The goal is to obtain newborn babies birth weight * A Simpler Solution…..
appropriate for gestational age [To avoid both SGA In future clinical practice, simpler and more cost- ef-
and LGA babies] fective strategies that do not require performing an
OGTT on most pregnant women may be developed.
(Lois Jovanovic. American Diabetes Association’s
Fourth International Workshop – Conference on Ges- (International Association of Diabetes & Pregnancy
tational Diabetes Mellitus: Summary and Discussion. Study Groups (IADPSG) Recommendations on the di-
Diabetes Care. 1998; 21 (2): B131 - B137 ) agnosis and classification of hyperglycemia in preg-
nancy. IADPSG Consensus panel, Diabetes Care 33
* Impact of our Diabetes In Pregnancy Awareness
And Prevention [DIPAP] Project on Birth Weight (3), 2010 )
of New born babies [DIPSI Criteria] * “A single-step procedure with a single glucose val-

Total Number of pregnant women followed-up = 8731 ue” to diagnose abnormal glucose tolerance in preg-
nancy is rational, cost-effective and causes negligible
This single initiative of achieving birth weight of in- inconvenience to the expectant mother.
fants appropriate for gestational age, would have sig-
nificant positive effect on the overall health of the (Gestational Diabetes Mellitus- Indian Guidelines.
family and the community. Journal of Indian Medical Association (JIMA) Novem-
ber 2009, 107 (11); 799- 806 )
(Data from Diabetes In Pregnancy Awareness & Pre-
vention (DIPAP) PROJECT * We should not let the best come in the way of the
good Most complicated problems in this universe has
FEMALE GENDER: THE KEY TO DIABETES PREVEN- a simple solution - Albert Einstein
TION? – LiseKingo
ONE Test with 75gm of oral glucose
It starts with a healthy pregnancy
irrespective of last meal timing
Maternal health – The link to the NCD epidemic
(Seshiah v, Balaji V. Primordial Prevention: maternal ONE Value to diagnose GDM
health and diabetes. 2013. Future medicine, Diabetes
Manage. (2013) 3(4), 1-9 ) 2hr PG> 140 mg/dl.
ONE Target 2hr PPG < 120mg/dl.
Prevention of Diabetes
(Nielsen et al. BMC Pregnancy and Childbirth (2017)
Preventive measures against Type 2 DM should start 17:255 DOI 10.1186/s12884-017-1429-y )

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