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594 Prevention of Non-Communicable Diseases - Whom to Focus?

* Factors influencing timely initiation and completion
of gestational diabetes mellitus screening and diag-
nosis - a qualitative study from Tamil Nadu, India
Karoline Kragelund Nielsen1,2* , Thilde Rheinländer1
, Anil Kapur3 , Peter Damm4 , Veerasamy Seshiah5
and Ib C. Bygbjerg1

Conclusions:

Minimising and aligning complex stepwise processes of
prenatal care and GDM screening delivery and attention
to the factors influencing it are important for further
improving and expanding GDM screening and related
services, not only in Tamil Nadu but in other similar low
and middle income settings. This study stresses the
importance of guidelines and diagnostic criteria which
are simple and feasible on the ground.
Public Health Priority (For Primordial prevention of
Diabetes)
The timely action taken now in screening all pregnant
women for glucose intolerance, achieving euglyce-
mia in them and ensuring adequate nutrition may
prevent in all probability, the epidemic of diabetes
and CVD.
(Diabetes Res ClinPract. 2012 Sep;97(3):350-8. doi:
10.1016/j.diabres.2012.04.024. Epub 2012 Jun )
Seshiah V Member Technical Advisory group on
GDM, inistry of Health Govt of India.

(Krishnaveni V etal. Intrauterine exposure to maternal
diabetes is associated with higher adiposity and in-
sulin resistance and clustering of cardiovascular risk
markers in Indian children.
GDM Is the Mother of Non Communicable Diseas-
es.-Seshiah
References:

Wing Hung Tam, Ronald Ching Wan Ma, Xilin
Yang, Gary Tin Choi Ko, Peter Chun Yip Tong, Clive
Stewart Cockram, Daljit Singh Sahota, Michael Scott
Rogers, Juliana Chung Ngor Chan - Pediatrics De-
cember 2008, volume122/issue6 5
(Lucas A (1991) Programming by early nutrition in
man. In: Bock GR, Whelan J (eds) The childhood en-
vironment and adult disease. John Wiley and Sons,
Chichester (UK), pp 38 - 55 )

GCDC 2017