The Hyperglycemia and Adverse Pregnancy Outcome (HAPO) study: paving the way for new diagnostic criteria for gestational diabetes mellitus
- PMID: 20510967
- PMCID: PMC2897007
- DOI: 10.1016/j.ajog.2010.04.006
The Hyperglycemia and Adverse Pregnancy Outcome (HAPO) study: paving the way for new diagnostic criteria for gestational diabetes mellitus
Abstract
The Hyperglycemia and Adverse Pregnancy Outcome (HAPO) study was performed in response to the need for internationally agreed upon diagnostic criteria for gestational diabetes, based upon their predictive value for adverse pregnancy outcome. Increases in each of the 3 values on the 75-g, 2-hour oral glucose tolerance test are associated with graded increases in the likelihood of pregnancy outcomes such as large for gestational age, cesarean section, fetal insulin levels, and neonatal fat content. Based upon an iterative process of decision making, a task force of the International Association of Diabetes and Pregnancy Study Groups recommends that the diagnosis of gestational diabetes be made when any of the following 3 75-g, 2-hour oral glucose tolerance test thresholds are met or exceeded: fasting 92 mg/dL, 1-hour 180 mg/dL, or 2 hours 153 mg/dL. Various authoritative bodies around the world are expected to deliberate the adoption of these criteria.
Copyright 2010 Mosby, Inc. All rights reserved.
Figures
![1](https://www.ncbi.nlm.nih.gov/pmc/articles/instance/2897007/bin/nihms-199576-f0001.gif)
Similar articles
-
[Gestational diabetes mellitus (Update 2019)].Wien Klin Wochenschr. 2019 May;131(Suppl 1):91-102. doi: 10.1007/s00508-018-1419-8. Wien Klin Wochenschr. 2019. PMID: 30980150 Review. German.
-
Population-Level Outcomes with a 2-Step Approach for Gestational Diabetes Screening and Diagnosis.Can J Diabetes. 2017 Dec;41(6):596-602. doi: 10.1016/j.jcjd.2016.12.010. Epub 2017 Apr 25. Can J Diabetes. 2017. PMID: 28454899
-
[Screening of gestational diabetes mellitus: a new consensus?].Gynecol Obstet Fertil. 2011 Mar;39(3):174-9. doi: 10.1016/j.gyobfe.2010.12.009. Gynecol Obstet Fertil. 2011. PMID: 21388854 French.
-
[Impact of HAPO study findings on future diagnostics and therapy of gestational diabetes].Gynakol Geburtshilfliche Rundsch. 2009;49(4):254-8. doi: 10.1159/000301083. Epub 2010 May 19. Gynakol Geburtshilfliche Rundsch. 2009. PMID: 20530938 Clinical Trial. German.
-
[New insights into diagnosis and management of gestational diabetes mellitus: recommendations of the Swiss Society for Endocrinology and Diabetes].Ther Umsch. 2009 Oct;66(10):695-706. doi: 10.1024/0040-5930.66.10.695. Ther Umsch. 2009. PMID: 19830677 Review. German.
Cited by
-
The Influence of Gestational Diabetes Mellitus on Maternal and Neonatal Outcomes: A Retrospective Study in Rzeszów, Poland.Med Sci Monit. 2024 May 26;30:e943644. doi: 10.12659/MSM.943644. Med Sci Monit. 2024. PMID: 38796697 Free PMC article.
-
Impact of Maternal Micronutrient Intake on Gestational Diabetes Risk: Results from Greece's BORN2020 Prospective Cohort Study.Nutrients. 2024 Apr 30;16(9):1375. doi: 10.3390/nu16091375. Nutrients. 2024. PMID: 38732620 Free PMC article.
-
STZ-induced gestational diabetes exposure alters PTEN/AKT/mTOR-mediated autophagy signaling pathway leading to increase the risk of neonatal hypoxic-ischemic encephalopathy.Reprod Toxicol. 2024 Jan;123:108494. doi: 10.1016/j.reprotox.2023.108494. Epub 2023 Oct 28. Reprod Toxicol. 2024. PMID: 38706688
-
Maternal vitamin D status and risk of gestational diabetes mellitus in twin pregnancies: a longitudinal twin pregnancies birth cohort study.Nutr J. 2024 Apr 10;23(1):41. doi: 10.1186/s12937-024-00944-2. Nutr J. 2024. PMID: 38594739 Free PMC article.
-
National and regional prevalence of gestational diabetes mellitus in India: a systematic review and Meta-analysis.BMC Public Health. 2024 Feb 20;24(1):527. doi: 10.1186/s12889-024-18024-9. BMC Public Health. 2024. PMID: 38378536 Free PMC article.
References
-
- Metzger BE, the Organizing Committee Summary and Recommendations of the Third International Workshop-Conference on Gestational Diabetes Mellitus; Diabetes; 1991. pp. 197–201. - PubMed
-
- O’Sullivan JB, Mahan CB. Criteria for the oral glucose tolerance test in pregnancy. Diabetes. 1964;13:278. - PubMed
-
- Blank A, Grave GD, Metzger BE. Effects of gestational diabetes on perinatal morbidity reassessed. Diabetes Care. 1995;18:127–129. - PubMed
-
- Metzger BE, Coustan DR, The Organizing Committee Summary and Recommendations of the Fourth International Workshop-Conference on Gestational Diabetes Mellitus; Diabetes Care; 1998. pp. B161–167. - PubMed
-
- USPSTF Guide To Clinical Preventive Service May, 2008. http://www.ahrq.gov/clinic/uspstf08/gestdiab/gdrs.htm.
Publication types
MeSH terms
Substances
Grants and funding
- R01 HD034243-01A2/HD/NICHD NIH HHS/United States
- R01-HD34242/HD/NICHD NIH HHS/United States
- R01 HD034243-06/HD/NICHD NIH HHS/United States
- R01 HD034243-03/HD/NICHD NIH HHS/United States
- R01 HD034243-07/HD/NICHD NIH HHS/United States
- R01 HD034243/HD/NICHD NIH HHS/United States
- R01 HD034243-02/HD/NICHD NIH HHS/United States
- M01 RR000048/RR/NCRR NIH HHS/United States
- M01-RR00048/RR/NCRR NIH HHS/United States
- R01 HD034243-08/HD/NICHD NIH HHS/United States
- R01 HD034242-01A2/HD/NICHD NIH HHS/United States
- R01 HD034243-09/HD/NICHD NIH HHS/United States
- R01 HD034243-04/HD/NICHD NIH HHS/United States
- M01 RR000080/RR/NCRR NIH HHS/United States
- R01 HD034242/HD/NICHD NIH HHS/United States
- R01 HD034243-05/HD/NICHD NIH HHS/United States
- M01-RR00080/RR/NCRR NIH HHS/United States
- R01-HD34243/HD/NICHD NIH HHS/United States
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
Miscellaneous