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Compared with the Carpenter-Coustan criteria commonly used in the U.S. for diagnosing gestational diabetes (GDM), criteria established by the International Association of Diabetes and Pregnancy Study Groups (IADPSG) result in a two- to threefold higher prevalence of GDM. Concerns about the ramifications of this discrepancy have limited the uptake of IADPSG criteria in the U.S. Now, investigators for the Hyperglycemia and Adverse Pregnancy Outcomes study (which has already revealed excess risk for adverse pregnancy outcomes among women with GDM diagnosed by IADPSG — but not Carpenter-Coustan — criteria) sought to determine the long-term maternal and pediatric consequences of untreated GDM diagnosed with the more-liberal criteria.
Among almost…