A scoring algorithm including fasting plasma glucose measurement and a risk estimation model is an accurate strategy for detecting GDM

Aims: It is currently not clear how to construct a time and cost-effective screening strategy for gestational diabetes (GDM). Thus, we elaborated a simple screening algorithm combining i) fasting plasma glucose (FPG) measurement and ii) a risk prediction model focused on subjects with normal FPG levels to decide if a further oral glucose tolerance test (OGTT) is indicated. Methods: 1336 women were prospectively screened for several risk factors for GDM within a multicenter study conducted in Austria. Of 714 (53.4%) women, who developed GDM using the most recent diagnostic guidelines, 461 were sufficiently screen…