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Modified White's classification of diabetes in pregnancy

Modified White's classification of diabetes in pregnancy
Class Description
A Abnormal GTT before pregnancy at any age or of any duration treated only by diet therapy
B Onset at age 20 years or older and duration of less than 10 years
C Onset at age 10 to 19 years or duration of 10 to 19 years
D Onset before 10 years of age, duration over 20 years, benign retinopathy, or hypertension (not preeclampsia)
R Proliferative retinopathy or vitreous hemorrhage
F Nephropathy with over 500 mg/day proteinuria
RF Criteria for both classes R and F
H Evidence of arteriosclerotic heart disease
T Prior renal transplantation
Gestational diabetes
A1 Diet-controlled gestational diabetes
A2 Insulin-treated gestational diabetes
Classes B through T require insulin treatment.
GTT: glucose tolerance test.
Adapted from:
  1. Hare JW, White P. Gestational Diabetes and White Classification. Diabetes Care 1980; 3:394.
  2. White P. Pregnancy complicating diabetes. Am J Med 1949; 7:609.
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