White's classification

A system for categorizing gestational DM, designed to predict the maternal and fetal M&M

White's classification–modified

Class Duration Lesions Therapy

A Any None Diet only

B < 10 Yrs None Insulin

C 10-19 Yrs None Insulin

D > 20 Yrs Benign retinopathy Insulin

F Any Nephropathy Insulin

H Any Heart disease Insulin

R Any Proliferative retinopathy Insulin

References in periodicals archive ?

White's classification stratifies the risk of various types of diabetes during pregnancy (TABLE 2): Class A includes patients without a diagnosis of diabetes before pregnancy; classes B, C, and D include patients with pre-existing diabetes of increasing duration; and classes F, H, R, and T include patients with diabetes with various vascular complications.

0 TABLE White's classification for gestational diabetes mellitus CLASS DEFINITION A1 Diabetes diagnosed during pregnancy; non-insulin- dependent A2 Diabetes diagnosed during pregnancy; insulin-dependent B Diabetes diagnosed after age 20 years or duration less than 10 years; no vascular complications C Diabetes diagnosed between age 10 to 19 years or duration of 10 to 19 years; no vascular complications D Diabetes diagnosed before age of 10 years or duration greater than 20 years; vascular complications present F Diabetes with nephropathy H Diabetes with coronary artery or other heart disease R Diabetes with retinopathy T Diabetes status post-renal transplant

What is appropriate fetal surveillance for women with diet-controlled gestational diabetes?