Reply to letter to the editor on "A perspective on testing for gestational diabetes mellitus" by Seshiah V et al.

Abstract

Sir, Gestational diabetes mellitus (GDM) is an area of intense clinical research paralleling the dramatic rise in its prevalence all across the globe. India is experiencing a similar rise in prevalence of GDM, which is a disturbing trend. A scientifically robust, well‑validated approach to screening, diagnosing and management of GDM is hence clearly the need of the hour. The logistics of adopting and applying such an approach becomes the responsibility of clinicians and the healthcare system. Unfortunately, the field of GDM is deeply mired in controversies. After decades of debate and consensus gatherings, workshops, expert meetings, opinions, and global research, we (at least in India) have moved toward universal screening, but have not yet arrived at a consensus for screening and diagnosis of GDM.