Publication Name	World Journal of Diabetes
Manuscript ID	117696
Country	India

Category	Health Care Sciences & Services
Manuscript Type	Editorial
Article Title	HbA1c and risk stratification in gestational diabetes: An editorial perspective
Manuscript Source	Invited Manuscript
All Author List	Ravindranath Reddy and Saptarshi Bhattacharya
Funding Agency and Grant Number
Corresponding Author	Saptarshi Bhattacharya, Department of Endocrinology, Indraprastha Apollo Hospitals, Sarita Vihar, Mathura Road, New Delhi 110076, Delhi, India. saptarshi515@gmail.com
Key Words	Risk stratification; Pregnancy glycemic biomarkers; Early gestational dysglycemia; Postpartum diabetes risk; Large-for-gestational age; Macrosomia
Core Tip	HbA1c is unreliable for diagnosing GDM because pregnancy alters red cell turnover and induces hematologic variability, yet rising evidence suggests it may still offer prognostic value. Early-pregnancy HbA1c above 5.9% predicts later GDM, while mid- and late-pregnancy values above 5.7–5.9 percent correlate with fetal overgrowth, hypertensive disorders, cesarean delivery, and postpartum dysglycemia. Although not a replacement for the OGTT, HbA1c may help identify women at heightened metabolic risk. More studies are needed before HbA1c can be integrated into risk-stratification algorithms for GDM care.
Citation	Reddy R, Bhattacharya S. Glycated hemoglobin and risk stratification in gestational diabetes: An editorial perspective. World J Diabetes 2026; In press

Received	2025-12-15 03:36
Peer-Review Started	2025-12-16 00:11
First Decision by Editorial Office Director	2026-01-14 05:16
Return for Revision	2026-01-14 05:16
Revised	2026-01-16 01:13
Publication Fee Transferred
Second Decision by Editor	2026-02-11 02:38
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-02-11 06:42
Articles in Press	2026-02-11 06:42
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9358 (online)
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