{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T05:06:25Z","timestamp":1779771985250,"version":"3.53.1"},"reference-count":34,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T00:00:00Z","timestamp":1778544000000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001505","name":"Health Research Council of New Zealand","doi-asserted-by":"publisher","award":["19\/690"],"award-info":[{"award-number":["19\/690"]}],"id":[{"id":"10.13039\/501100001505","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001505","name":"Health Research Council of New Zealand","doi-asserted-by":"publisher","award":["25\/002"],"award-info":[{"award-number":["25\/002"]}],"id":[{"id":"10.13039\/501100001505","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Diabetes"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>The revised diagnostic criteria for gestational diabetes (GDM) in New Zealand include lowering the fasting glucose from the current \u2265\u20095.5 to \u2265\u20095.3\u2009mmol\/L and replacing the current 2\u2010h post\u2010load glucose (\u2265\u20099.0\u2009mmol\/L) with a 1\u2010h glucose (\u2265\u200910.6\u2009mmol\/L). We assessed the effects of these changes on the demographics of those diagnosed and their perinatal outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>Participants in the GEMS trial were grouped as meeting only the revised criteria (Additional group), only the current criteria (Missed group), both criteria (Both\u2010Criteria group), and neither criteria (Non\u2010GDM group).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      GDM prevalence among 3921 participants was 6.8% using the revised criteria and 5.8% using the current criteria (risk ratio 1.18, 95% CI 1.00\u20131.40). Women in the Additional (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009125) and Missed groups (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200983), who would be affected by the changes, were more likely to be overweight\/obese, have a family history of diabetes, and have Asian ethnicity than women in the Non\u2010GDM group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20093562). They also had less gestational weight gain and more induced labors, while their infants were born earlier, had lower birthweight, and more neonatal hypoglycemia (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Women in the Missed group had lower BMI and fewer were of Pacific ethnicity than the Both\u2010Criteria group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009151). They also had less pharmacotherapy use and postpartum hemorrhage.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Using the revised criteria will increase GDM diagnoses by identifying a high\u2010risk group of women likely to benefit from treatment, but 35.5% of women currently treated for GDM will no longer be diagnosed, potentially compromising their health.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1753-0407.70232","type":"journal-article","created":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T06:16:41Z","timestamp":1778653001000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Potential Impact of Revising the Diagnostic Criteria for Gestational Diabetes on Maternal Pregnancy and Infant Perinatal Outcomes"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-9885-208X","authenticated-orcid":false,"given":"Qiliang","family":"Liu","sequence":"first","affiliation":[{"name":"Liggins Institute, University of Auckland, New Zealand  Auckland New Zealand"},{"name":"Te Whatu Ora Te Toka Tumai Auckland, Auckland, New Zealand  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2697-1422","authenticated-orcid":false,"given":"Jane E.","family":"Harding","sequence":"additional","affiliation":[{"name":"Liggins Institute, University of Auckland, New Zealand  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0412-3203","authenticated-orcid":false,"given":"Greg D.","family":"Gamble","sequence":"additional","affiliation":[{"name":"Liggins Institute, University of Auckland, New Zealand  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carl","family":"Eagleton","sequence":"additional","affiliation":[{"name":"Liggins Institute, University of Auckland, New Zealand  Auckland New Zealand"},{"name":"Te Whatu Ora Te Toka Tumai Auckland, Auckland, New Zealand  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3814-1370","authenticated-orcid":false,"given":"Lisa","family":"Dawes","sequence":"additional","affiliation":[{"name":"Liggins Institute, University of Auckland, New Zealand  Auckland New Zealand"},{"name":"Te Whatu Ora Te Toka Tumai Auckland, Auckland, New Zealand  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9079-4451","authenticated-orcid":false,"given":"Caroline A.","family":"Crowther","sequence":"additional","affiliation":[{"name":"Liggins Institute, University of Auckland, New Zealand  Auckland New 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