OBSERVATIONS Selective Screening for Gestational Diabetes in Chinese Women

The American Diabetes Association(ADA) has recommended selectivescreening for gestational diabetes mellitus (GDM) (1). Pregnant women aged 25 years, who have normal body weight, no family history of diabetes, and are not members of an ethnic/racial group with a high prevalence of diabetes, are re-garded as a low-risk group for GDM and need not be screened. The effect of selec-tive screening guidelines has been inves-tigated in Caucasian populations using a 100-g 3-h oral glucose tolerance test (OGTT) (2,3). We report here the effect of the selective screening protocol. A total of 9,471 pregnant women in Tianjin, China, took part in a universa