Is Screening for Early Gestational Diabetes Mellitus Associated with a Better Prognosis? An Observational Study Including 8,713 Women

In addition to screening for gestational diabetes mellitus (GDM) after 24 gestational weeks (GW), the IADPSG proposed to screen in early pregnancy and to refer women with early GDM (eGDM) for immediate care. The usefulness of this strategy is still unknown. We included women with a singleton pregnancy, without personal history of diabetes or bariatric surgery, who delivered in our hospital between 2012 and 2016. We compared the incidence of preeclampsia or large for gestational age infant or shoulder dystocia in women with an early screening before 22 WG -leading to care for eGDM (FPG) 92-125 mg/dL) or diabetes in pregnancy (DIP: FPG≥126 mg/dL) if present- (screened group) or without (unscreened group). Compared with women in the unscreened group (n=4634, 53.3%), those in the screened group (n=4079) had different ethnicities (p Disclosure E. Cosson: Consultant; Self; Lilly France. Board Member; Self; Novartis France. Consultant; Self; Roche Diagnostics France. Board Member; Self; Ascensia Diabetes Care. Consultant; Self; Bezins France. Board Member; Self; MSD France. D. Sandre Banon: None. F. Gary: None. I. Pharisien: None. J. Portal: None. P. Valensi: None. L. Carbillon: None.