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Table 1 Summary of studies assessing GDM prevalence

From: The impact of diagnostic criteria for gestational diabetes on its prevalence: a systematic review and meta-analysis

Author, year

Country

Type of GDM screening test

GDM criteria

Year of sampling

Sample size

Prevalence of GDM

Quality scaling

Aljohani et al. 2008a

Canada

GCT with 50 g 1-h GCT, threshold: values above 7.8 mmol/L following OGTT with 100 g 3-h. Threshold: two value above 5.8, 10.6, 9.2 and 8.1 mmol/L for fasting, 1, 2 and 3 h

National criteria

1985–2004

324,605

2.9

Moderate

Al Mahroos et al. 2005a

Bahrain

GCT with 50 g 1-h GCT, threshold: values above 140 mg/dL following OGTT with 75 g 3-h. Threshold: two value above 95, 180, 155 and 140 mg/dL for fasting, 1, 2 and 3 h

Fourth international conference on GDM

2001–2002

10,495

13.3

High

Anna et al. 2008b

Australia

GCT with 50 g 1-h GCT, threshold: values above 7.8 mmol/L following OGTT with 75 g glucose. Threshold: value above 5.5, 8 mmol/L for fasting and 2 h

National criteria

1995–2005

950,737

3.7

High

Arora et al. 2015b

India

1. OGTT with 75 g glucose. Threshold: value above 5.1 and 8.5 mmol/L for fasting and 2 h

2. OGTT with 75 g glucose. Threshold: value above 7 and 7.8 mmol/L for fasting and 2 h

1. WHO 2013

2. WHO 1999

2009–2012

1. 5100

2. 5100

1. 34.9

2. 9

Moderate

Baptiste-Roberts et al. 2012a

USA

OGTT with 100 g 3-h. Threshold: value above 120 or 175, 155 and 140 mg/dL for fasting and 1 h, and did not return to normal in the 2- and 3-h

National criteria

1959–1966

28,358

1.7

High

Leng et al. 2015a

China

1. GCT with 50 g 1-h GCT, Threshold: values above 7.8 mmol/L following OGTT with 75 g 2-h. Threshold: one value above 5.1, 10.0 and 8.5 mg/dL for fasting, 1 and 2 h

2. GCT with 50 g 1-h GCT, Threshold: values above 7.8 mmol/L following OGTT with 75 g 2-h. Threshold: Fasting < 7.0 mmol/L and 2-h > 7.8 but < 11.1 mmol/L OR fasting > 6.1 but < 7.0 mmol/L and 2-h PG < 7.8 mmol/L

1. IADPSG

2. WHO1999

2010–2012

1. 17,808

2. 17,808

1. 7.7

2. 6.8

High

Chodick et al. 2010a

Israel

GCT with 50 g 1-h GCT, threshold: not mentioned, following OGTT with 100 g 3-h. Threshold: two value above 95, 180, 155 and 140 mg/dL for fasting, 1, 2 and 3 h

Carpenter and Coustan

1995–1999

185,416

6.07

High

Moses et al. 2011a

Australia

1. OGTT with 75 g glucose. Threshold: one value above or equal to 5.5 and 8.0 mmol/L for fasting and 2 h

2. OGTT with (not mentioned) g glucose. Threshold: one value above or equal to 5.1, 10.0 and 8.2 mmol/L for fasting, 1 and 2 h

1. ADIPS

2. IADPSG

NM*

1. 1275

2. 1275

1. 9.6

2. 13

Moderate

Erjavec et al. 2016b

Croatia

1. OGTT with 75 g glucose. Threshold: one value above or equal to 6.1 and 7.8 mmol/L for fasting and 2 h

2. OGTT with 75 g glucose. Threshold: one value above or equal to 5.1, 10.0 and 8.5 mmol/L for fasting, 1 and 2 h

1. WHO 1999

2. National criteria

1. 2010

2. 2014

1. 42,656

2. 39,092

1. 2.2

2. 4.7

High

Ferrara et al. 2004a

USA

1. GCT with 50 g 1-h, threshold: not mentioned, following OGTT with 100 g 3-h. Threshold: Two value above 95 or 180, 155 and 140 mg/dL for fasting, 1 and 2 h

2. 2 hpp > 200 mg/dL, 3. FBS > 126 mg/dL, 4. OGTT with 75 g 2-h, threshold: value above 140 mg/dL for 2 h, 5. GDM histort at time of hospital discharge

ADA, ACOG and WHO

1999–2000

267,051

6.33

Moderate

Ferrara et al. 2002b

USA

1. GCT with 50 g 1-h, threshold: 140 mg/dL following OGTT with 100 g 3-h. Threshold: two value above 105 or 190, 155, 165 and 145 mg/dL for fasting, 1, 2 and 3 h

2. GCT with 50 g 1-h, threshold: 140 mg/dL following OGTT with 100 g 3-h. Threshold: Two value above 95 or 180, 155, 140 and 145 mg/dL for fasting, 1, 2 and 3 h

1. NDDG

2. Carpenter and Coustan

1996

1. 26,481

2. 26,481

1. 3.2

2. 4.8

High

Gao et al. 2010b

China

(1) GCT with 50 g 1-h, Threshold: ≥ 7.8 mmol/L but < 11.1 mmol/L, (2) FPG ≥ 5.8 mmol/L, (3) Random FPG ≥ 5.8 mmol/L twice, following OGTT with 75 g 3-h. Threshold: two value above 5.3, 10.0, 8.6 and 7.8 mmol/L for fasting, 1, 2 and 3 h

ADA

2006

4179

17.9

Moderate

Hedderson et al. 2010a

USA

GCT with 50 g 1-h, threshold: not mentioned following OGTT with 100 g 3-h, threshold: two value above 95 or 180, 155, 140 and 145 mg/dL for fasting, 1, 2 and 3 h

ADA

1995–2004

216,089

5.8

High

Ignell et al. 2014b

Sweden

OGTT with 75 g glucose. Threshold: value above or equal 10.0 mmol/L for 2 h

European Association of the Study of Diabetes

2003–2012

156,144

2.2

Moderate

Jenum et al. 2012a

Norway

1. OGTT with 75 g glucose. Threshold: one value above or equal to 7 and 7.8 mmol/L for fasting and 2 h

2. OGTT with 75 g glucose. Threshold: one value above or equal to 5.1 and 8.5 mmol/L for fasting and 2 h

1. WHO

2. IADPSG

2008–2010

1. 759

2. 759

1. 13

2. 31.5

High

Ishak et al. 2003a

Australia

OGTT with 75 g glucose. Threshold: one value above or equal to 5.5 and 8 mmol/L for fasting and 2 h OR OGTT with 75 g glucose. Threshold: one value above or equal to 7.8 and 11 mmol/L for fasting and 2 h

National criteria

1988–1999

230,011

2.46

Moderate

Janghorbani et al. 2006a

UK

Random plasma glucose, threshold: 6.5 mmol/L following OGTT with 75 g glucose. Threshold: one value above or equal to 6 and 7.5 mmol/L for fasting and 2 h

WHO

1996–1997

4942

1.8

Moderate

Jesmin et al. 2014b

Bangladesh

1. GCT with 50 g 1-h, threshold: 7.8 mmol/L following OGTT with 75 g 2-h, threshold: ne value above or equal to 7 and 7.8 mmol/L for fasting and 2 h

2. GCT with 50 g 1-h, threshold: 7.8 mmol/L following OGTT with 75 g 2-h, threshold: ne value above or equal to 5.3 and 8.6 mmol/L for fasting and 2 h

1. WHO

2. ADA

2012–2013

1. 3447

2. 3447

1. 9.7

2. 12.9

Moderate

Kalamegham et al. 2010a

USA

GCT with 50 g 1-h, threshold: 130 mg/dL following OGTT with 100 g 3-h, threshold: ne value above or equal to 7 and 7.8 mmol/L for fasting and 2 h

ADA

2000–2007

18,307

8.6

Moderate

Lawrence et al. 2008a

USA

GCT with 50 g 1-h, threshold: not mentioned following (1) OGTT with 100 g 3-h, threshold: two value above or equal to 5.3, 10, 8.6 and 7.8 mmol/L for fasting, 1, 2 and 3 h OR (2) OGTT with 75 g glucose, threshold: two value above or equal to 5.3, 10 and 8.6 for fasting, 1 and 2 h OR (3) FBS ≥ 7 mmol/L OR (4) random plasma glucose ≥ 11.1 mmol/L

ADA

1999–2005

199,298

7.6

High

Leng et al. 2016a

China

GCT with 50 g 1-h, threshold: ≥ 7.8 mmol/L following OGTT with 75 g 2-h, threshold: value above 5.1, 10.0 and 8.5 mmol/L for fasting, 1 and 2 h

IADPSG

2010–2012

11,450

7.3

High

Magee et al. 1993a

USA

1. GCT with 50 g 1-h, threshold: ≥ 7.7 mmol/L following OGTT with 100 g 3-h, threshold: two value above 5.9, 10.6, 9.2 and 8.1 mmol/L for fasting, 1, 2 and 3 h

2. GCT with 50 g 1-h, threshold: ≥ 7.7 mmol/L following OGTT with 100 g 3-h, threshold: two value above 5.3, 10.1, 8.7 and 7.8 mmol/L for fasting, 1, 2 and 3 h

1. NDDG

2. Modified NDDG

1985–1986

1. 2019

2. 2019

1. 1.6

2. 5.8

High

McCarth et al. 2010a

Argentina

OGTT with 75 g glucose. Threshold: value above or equal to 7.8 mmol/L for 2 h

National criteria

NM*

1702

5.8

Moderate

Melchior et al. 2017b

Germany

GCT with 50 g 1-h, threshold: ≥ 135 and ≤ 200 mg/dL following OGTT with 75 g 2-h, threshold: value above 92, 180 and 153 mg/dL for fasting, 1 and 2 h

ICD-10

2014–2015

458,291

13.2

Moderate

Mizuno et al. 2016b

Japan

Random blood glucose, threshold: > 100 mg/dL following OGTT with 75 g 2-h, threshold: value above or equal to 92, 180 and 153 mg/dL for fasting, 1 and 2 h

National criteria

2011

8874

2.3

High

Murphy et al. 1993a

USA

GCT with 50 g 1-h, threshold: ≥ 7.8 mmol/L following OGTT with 75 g 2-h, threshold: value above 92, 180 and 153 mg/dL for fasting, 1 and 2 h

O’Sullivan criteria

1987–1988

605

5.8

Moderate

Lindqvist et al. 2014b

Sweden

OGTT with 75 g glucose. Threshold: value above or equal to 10 mmol/L for 2 h

European Association for the Study of Diabetes

2011–2012

20,822

2.2

High

Ostlund et al. 2003a

Sweden

OGTT with 75 g 2-h, threshold: value above or equal to 6.7 and 9 mmol/L for fasting and 2 h

WHO

1994–1996

4918

1.7

Moderate

O’Sullivan et al. 2011a

Ireland

1. OGTT with 75 g 2-h, threshold: value above 5.1, 10 and 8.5 mmol/L for fasting, 1 and 2 h

2. OGTT with 75 g 2-h, threshold: value above or equal to 7 and 11 mmol/L for fasting and 2 h

1. IADPSG

2. WHO

2006–2009

1. 5500

2. 5500

1. 12.4

2. 9.4

Moderate

Bhavadharini et al. 2016b

India

1. OGTT with 75 g 2-h, threshold: value above or equal to 5.1, 10 and 8.5 mmol/L for fasting, 1 and 2 h

2. OGTT with 75 g 2-h, threshold: value above or equal to 7.7 mmol/L for 2 h

1. IADPSG

2. WHO

2013–2014

1. 1774

2. 1774

1. 15.7

2. 10.5

High

Pu et al. 2015a

USA

OGTT with 100 g 3-h, threshold: Two value above 95, 180, 155 and 140 mg/dL for fasting, 1, 2 and 3 h

ICD-9

2007–2012

24,195

10.4

High

Sacks et al. 2012a

HAPO study

OGTT with 75 g 2-h, threshold: value above or equal to 5.1, 10.0 and 8.5 mmol/L for fasting, 1 and 2 h

IADPSG

2000–2006

23,957

17.8

High

Schmidt et al. 2001a

Brazil

1. OGTT with 75 g 2-h, threshold: value above or equal to 5.3, 10.0 and 8.6 mmol/L for fasting, 1 and 2 h

2. OGTT with 75 g 2-h, threshold: value above or equal to 7.0 and 7.8 mmol/L for fasting and 2 h

1. ADA

2. WHO

1991–1995

4977

1. 2.4

2. 7.2

High

Schmidt et al. 2000a

Brazil

OGTT with 75 g 2-h, threshold: value above or equal to 7.0 and 7.8 mmol/L for fasting and 2 h

WHO

1991–1995

5004

7.6

Moderate

Sella et al. 2013a

Israel

GCT with 50 g 1-h, threshold: not mentioned following OGTT with 100 g 3-h, threshold: two value above 5.3, 10.0, 8.6 and 7.8 mmol/L for fasting, 1, 2 and 3 h

Carpenter and Coustan criteria

2000–2010

367,247

3.6

High

Seshiah et al. 2007a

India

OGTT with 75 g 2-h, threshold: value above or equal to 140 mg/dL for 2 h

WHO

2007

4151

3.9

Moderate

Seshiah et al. 2008a

India

OGTT with 75 g 2-h, threshold: value above or equal to 140 mg/dL for 2 h

WHO

2005–2007

12,056

13.9

Moderate

Seyoum et al. 1999a

Ethiopia

OGTT with 75 g 2-h, threshold: value above or equal to 140 mg/dL for 2 h

WHO

1999

890

3.7

Moderate

Shand et al. 2008b

Australia

GCT with 50 g 1-h, threshold: value above or equal to 7.8 mmol/L following OGTT with 75 g 2-h, threshold: value above 5.5 and 8.0 mmol/L for fasting and 2 h

ADIPS

1998–2002

370,703

4.5

High

Sommer et al. 2014a

Norway

OGTT with 75 g 2-h, threshold: value above or equal to 5.1 and 8.5 mmol/L for fasting and 2 h

IADPSG

2008–2010

728

31.5

High

Sudasingh et al. 2016b

Sri Lanka

OGTT with 75 g 2-h, threshold: value above or equal to 126 and 140 mg/dL for fasting and 2 h

WHO

2014–2015

1600

12.1

Moderate

Tamayo et al. 2016b

Germany

GCT with 50 g 1-h, threshold: ≥ 135 mg/dL following OGTT with 75 g 2-h, threshold: value above 92, 180 and 153 mg/dL for fasting, 1 and 2 h

ICD-10

2013–2014

158,839

6.81

Moderate

Tan et al. 2017a

Australia

1. OGTT with 75 g 2-h, threshold: value above or equal to 5.5 and 8.0 mmol/L for fasting and 2 h

2. OGTT with 75 g 2-h, threshold: value above or equal to 5.1, 10 and 8.5 mmol/L for fasting, 1 and 2 h

IADPSG

2014–2015

2895

9

High

Trujillo et al. 2015a

Brazil

OGTT with 75 g 2-h, threshold: value above or equal to 92, 180 and 153 mg/dL for fasting, 1 and 2 h

IADPSG

1991–1995

4926

18

Moderate

Wahabi et al. 20172

Saudi Arabia

OGTT with 75 g 2-h, threshold: value above or equal to 92–125, 180 and 153–199 mg/dL for fasting, 1 and 2 h

WHO

2013–2015

9723

24.2

Moderate

Wang et al. 2012b

USA

GCT with 50 g 1-h, threshold: value above or equal to 140 mg/dL following OGTT with 100 g 3-h, threshold: two value above 95, 180, 155 and 140 mg/dL for fasting, 1, 2 and 3 h

ADA

1997–2009

62,685

4.3

High

Xiong et al. 2001a

Canada

GCT with 50 g 1-h, threshold: value above or equal to 7.8 mmol/L following OGTT with 100 g 3-h, threshold: two value above 5.8, 10.5, 9.2 and 8 mmol/L for fasting, 1, 2 and 3 h

National criteria

1991–1997

111,563

2.5

Moderate

Yang et al. 2009a

China

GCT with 50 g 1-h, threshold: value above or equal to 7.9–11.0 mmol/L following OGTT with 75 g 2-h, threshold: two value above 5.3, 10.0 and 8.6 mmol/L for fasting, 1 and 2 h

ADA

2006

16,286

4.3

High

Yeung et al. 2017a

Canada

GCT with 50 g 1-h, threshold: value above or equal to 7.8 mmol/L following OGTT with 75 g 2-h, threshold: two value above 5.3, 10.6 and 8.9 mmol/L for fasting, 1 and 2 h OR following OGTT with 100 g 3-h, threshold: two value above 5.3, 10.0 8.6 and 7.8 mmol/L for fasting, 1, 2 and 3 h

ICD-10

2004–2010

498,013

6

High

Zhang et al. 2011b

China

GCT with 50 g 1-h, threshold: value above or equal to 7.8 mmol/L following OGTT with 75 g 2-h, threshold: two value above 6.1-7 and 7.8 mmol/L for fasting, 1 and 2 h

WHO

1999–2008

105,473

4.5

High

Zhu et al. 2017a

China

OGTT with 75 g 2-h, threshold: one value above 5.1, 10.6 and 8.5 mmol/L for fasting, 1 and 2 h

National criteria

2013

15,194

19.7

Moderate

  1. * NM not mentioned
  2. aCohort study
  3. bCross sectional study