We thank Dr. Sacks (1) for his supportive comments on a possible shift in the diagnostic criteria for gestational diabetes mellitus (GDM). The data that he has cited (2) lend further support for mean odds ratios (ORs) for pregnancy complications of 2.0 based on the Hyperglycemia and Adverse Pregnancy Outcome (HAPO) data, rather than 1.75, as the thresholds on the glucose tolerance test for the diagnosis of GDM. To paraphrase his …
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Cheung et al. (2018) studied this question.
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