Abstract
Reasons for referral oral glucose tolerance testing in 311 consecutive pregnant women were reviewed, and results of the test noted. Traditional clinical and historic referral criteria (glycosuria, positive family history for diabetes, poor obstetric history, polyhydramnios and macrosomia) were poor predictors of abnormal glucose tolerance. Since perinatal morbidity and mortality is greater in women with gestational diabetes than in the general population, and well controlled insulin dependent diabetes, additional criteria are required so that all cases may be recognised, and early therapy given.
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