International Journal of Obstetrics and Gynecology

International Journal of Obstetrics and Gynecology ISSN: 2736-1594 Vol. 9 (1), pp. 001-007, January, 2021. © International Scholars Journals

Full Length Research Paper

Effectiveness of Diabetes in Pregnancy Study Group of India (DIPSI) criteria in detecting Gestational Diabetes among women attending a Tertiary Care Hospital in Sri Lanka

Jayawardena G.R.M.U.G.P1,2, Guruparan K1,2, Sumathipala W.L.D.S3, Ratnasiri U.D.P2 and Senanayake H.M4

1Post Graduate Institute of medicine, University of Colombo, Sri Lanka.

2Desoysa Hospital for Women, Colombo, Sri Lanka.

3Facultyof Medicine, University of Colombo, Sri Lanka.

4Department of Obstetrics and Gynecology, Faculty of Medicine, University of Colombo, Sri Lanka.

Abstract

Accepted 16 December, 2020

Abstract 

The aim of this prospective descriptive cross sectional study was to investigate the utility of a single value non fasting glucose tolerance test as described by the Diabetes in Pregnancy Study Group of India (DIPSI) in detecting GDM. Sample of 165 pregnant women between 24-28 weeks of gestation was recruited from a tertiary care maternity hospital in Sri Lanka. All women had the DIPSI and standard OGTT tests performed within a one week and results compared using standard non parametric tests. According to the IADPSG criteria 20% (33/165) had GDM, compared to 22.4% (37/165) detected by DIPSI. Sensitivity of DIPSI criteria was 64% while specificity was 88%. The area under receiver operator curve was 0.8. The mean satisfaction for DIPSI was of 8.9 ± 0.4, compared to 4.7 ± 1.3 for OGTT (p<0.001). Analysis of false positives showed that it was mainly due to elevated fasting values in the IADPSG criteria. Although DIPSI has a low sensitivity compared to the IADPSG criteria, area under the ROC curve is 0.80 indicating its utility for diagnosing GDM. It has additional advantages of allowing a diagnosis of GDM in a single visit and high acceptability among women.

Key words: Gestational Diabetes Mellitus, Diabetes in Pregnancy Study Group India, Oral Glucose Tolerance Test.