Response to Dashora et al.
- Maria I. Schmidt, MD,
- Bruce B. Duncan, MD,
- Angella J. Reichelt, MD and
- Brazilian Study of Gestational Diabetes Study Group
- Department of Social Medicine, School of Medicine, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
We thank Dashora et al. (1) for their comments regarding our study (2). Their observations corroborate our findings about the validity of using a 2-h 75-g OGTT in pregnancy to detect gestational diabetes mellitus (GDM).
In their study, the 2-h 75-g OGTT was done at booking and, if normal, was repeated two or three times at 2-month intervals. Using World Health Organization (WHO) criteria, they found a 21.3% prevalence of GDM, with over 88% of cases being diagnosed before the 7th month of pregnancy. This high prevalence of diagnosis may reflect …
