Diabetes Mellitus: New Evidence From

The article by Zhu et al. (1) publishedinDiabetes Care concludes that a fast-ing plasma glucose (FPG) at 24–28 weeks ’ gestation can be used in low-resource regions as a screening test to identify gestational diabetes mellitus (GDM) in Chinese patients. However, in their experience, a screening proto-col using FPG cutoff points of $4.4 and #5.0 mmol/L would fail to identify about 12 % of the GDM cases and require a formal oral glucose tolerance test (OGTT) to be performed in about half of the pregnant population (1). These observations contrast with our findings in a circum-Mediterranean population (2). In our population,