The hyperglycemia and adverse pregnancy outcome (HAPO) study: Can we use the results as a basis for change?

Donald R. Coustan, Lynn P. Lowe, Boyd E. Metzger

Research output: Contribution to journalReview articlepeer-review

17 Scopus citations

Abstract

At present the diagnosis of gestational diabetes uses differing criteria in different parts of the world, with none being based on pregnancy outcome. Different glucose loads (50, 75 or 100 grams) are recommended, rather than the standard 75 gram load utilized worldwide in nonpregnant individuals. The HAPO study was designed to determine what level of glucose intolerance, short of diabetes, is associated with an excess of adverse perinatal outcomes. On a 75 gram, 2-hour OGTT each of the 3 values is significantly and continuously related to various adverse outcomes, and no inflection point is evident. Consequently an international group of interested experts is developing recommendations for diagnostic criteria for GDM which, it is hoped, will be adopted world wide.

Original languageEnglish (US)
Pages (from-to)204-209
Number of pages6
JournalJournal of Maternal-Fetal and Neonatal Medicine
Volume23
Issue number3
DOIs
StatePublished - Mar 2010

Keywords

  • GTT criteria
  • Gestational diabetes
  • Glucose tolerance test in pregnancy
  • HAPO

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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