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Universal screening for GDM was recommended in 1985. According to this recommendation, all pregnant women, regardless of the presence of risk factors should be screened for GDM.

In 1999, the American Diabetes Association changed the previous recommendations from universal screening to high risk groups screening. High risk women include those age > 25, overweight before pregnancy, members of an ethnic group with a high prevalence of diabetes, having first relatives with diabetes, history of abnormal glucose tolerance and history of poor obstetric outcome.