Guidelines for the management of gestational diabetes mellitus revisited

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.