Boddu Anuja1, Sanjev Dave2*, Prashant Dahire3, Rashmi Pandey4, Anuradha Dave 5, Ridima Kamal6
1*Dr. Boddu Anuja, Department of Community Medicine, SRTR Govt Medical College, Ambejogai, Beed, Maharashtra, India
2Sanjev Dave, HOD Community Medicine, Autonomous State Medical College, Auraiya UP-206244, India
3Associate Prof, SRTR Medical College, Community Medicine, Ambajogai, India
4Department of Community Medicine, Subharti Medical College, Meerut, Uttar Pradesh, India-250005
5Assistant Professor Biochemistry, Govt Medical College, Haridwar, Uttarakhand, India, Uttar Pradesh, India
6Public Health Consultant, Department of Community Medicine, All India Institute of Medical Sciences, New Delhi
Submitted: 28 June 2025; Accepted: 10 July2025; Published: 20 July 2025
Corresponding Author: 2*Prof Dr Sanjev Dave, HOD Community Medicine, Autonomous State Medical College, Auraiya, UP206244.email: [email protected]
Background: The rising prevalence of GDM is primarily driven by modifiable risk factors like obesity, poor diet, sedentary lifestyle, and pre-existing insulin resistance, which can be reduced through early interventions. Aim of study: This study aimed to determine early prediction of hyperglycemia and gestational diabetes mellitus in pregnant rural women by early screening of dysglycemia in 8-10 weeks of gestation. Methodology: This study was focused on 135 antenatal care (ANC) mothers in rural areas, given the importance of this population. It explored various parameters, including demographic factors, postprandial blood sugar (PPBS) levels, and Oral Glucose Challenge Test (OGCT) at specific times. Results: It was found that elevated early PPBS levels were linked to a greater risk of adverse pregnancy outcomes, including low birth weight, large for gestational age (LGA) babies, preterm births, increased NICU admissions, and elevated rates of pregnancy-related hypertension and gestational hypertension. Conclusion: Women with elevated early PPBS levels ≥110 mg/dl who received targeted management showed improvements in controlling blood glucose levels, potentially reducing adverse maternal and neonatal outcomes. The study advocates for early detection of elevated blood glucose levels, which enables timely interventions such as dietary education and lifestyle modifications.
