Study Finds Casual Blood Glucose test misses 70% of Gestational Diabetes Cases

A study conducted at the Kobe university reveals that 70% of the cases get unnoticed when casual blood sugar levels were measured to evaluate gestational diabetes. The authors suggest that a more reliable test like Glucose tolerance test should be used for screening the same.
The results, published in the Journal of Diabetes Investigation, showed that out of the 99 women who in the end were diagnosed with gestational diabetes mellitus, 71.7% had blood sugar levels in their first blood sample that would have resulted in a negative (no diabetes) diagnosis. Tomimoto explains, “Although there have been studies showing that the casual blood glucose test is less sensitive than others, no studies have directly compared the results in the same individuals. Our study confirmed that this screening method, which is widely used in practice, frequently misses the condition it is meant to detect.”
To see how widespread this issue is, the team also conducted a survey amongst health care facilities in Hyogo Prefecture, where Kobe University is based. They found that 43% of the respondents who used blood glucose tests relied only on the casual screening. “In Japan, where about half of all deliveries take place in obstetric clinics rather than in hospitals, the more accurate but complicated and time-consuming tests are not widely used,” says TOMIMOTO Masako, graduate student at Kobe University. However, this is not a problem unique to Japan, as similar surveys showed that in the UK, 48% of clinics also rely on only the casual blood glucose test for the first screening.



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