To the Editor: In 1998, the Australasian Diabetes in Pregnancy Society (ADIPS) published management guidelines for gestational diabetes mellitus (GDM).1 Recently, the American College of Obstetricians and Gynecologists (ACOG) published its clinical management guidelines for GDM.2 The Table shows there are few differences from the ADIPS guidelines. At this stage, ADIPS does not consider existing evidence warrants revision of its guidelines. ADIPS will retain its existing criteria for the diagnosis of GDM based on a 75 g oral glucose tolerance test (OGTT) pending publication of the Hyperglycaemia and Adverse Pregnancy Outcome Study.3 The results of this international prospective study of 25 000 pregnant women should be available in June 2004.
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- 1. Hoffman L, Nolan C, Wilson JD, et al. Gestational diabetes mellitus — management guidelines. The Australasian Diabetes in Pregnancy Society. Med J Aust 1998; 169: 93-97.
- 2. American College of Obstetricians and Gynecologists. Clinical management guidelines for obstetrician–gynecologists: Gestational Diabetes. ACOG Practice Bull 2001; 30: 525-538.
- 3. Oats J, McIntyre D, Morrison B, Parry A. Gestational diabetes randomised controlled trials: the HAPO (Hyperglycaemia and Adverse Pregnancy Outcome) Study. Australas Diabetes Pregnancy Soc Newsl 2001; February: 10-11.
- 4. Australian Centre for Diabetes Strategies. National evidence based guidelines for the management of Type 2 diabetes mellitus: Public consultation draft. March 2000. Primary detection; Case detection and Diagnosis. Sydney: Australian Centre for Diabetes Strategies, 2000: 209.
- 5. Kjos S, Peters RK, Xiang A, et al. Predicting future diabetes in Latino women with gestational diabetes. Utility of early postpartum glucose tolerance testing. Diabetes 1995; 44: 586-591.