There are significant changes in carbohydrate metabolism during pregnancy. During Pregnancy insulin resistance increases because of secreation of large number of counter regulatory hormone like human placental lactogen, cortisol, oestrogen, progesterone and also there is destruction of insulin by placenta, as a result this changes there is maternal hyperglycemia, reduced conversation of glucose to glycogen, all these things result in uninterrupted supply of glucose to fetus. If in mother these changes are more pronounced that result gestational diabetes mellitus. It may occur first time in pregnancy or may be first time noticed in pregnancy were it is known as pregestatational diabetes. Our study is aimed to know the prevelance of diabetes in  zone of Kashmir belt.

Results: The prevelance of diabetes in our study is 13%.The standard method of diagnosis being two step procedure where in first step screening is done by DIPSI with 75gm glucose if abnormal this is followed by 3 hour OGTT.

Conclusion: Since the prevelance of Gestational diabetes in our belt of Kashmir is high so I recommend routine screening of all women with DIPSI at 24_28 weeks of gestation followed by 3 hour OGTT if DIPSI was abnormal.

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Dr Shazia Nisar

Senoir Resident Department of Obstetric and Gynecology Skims