Usefulness of cutoff points of the IADPSG criteria for prediction of postpartum diabetes and prediabetes among Chinese women with gestational diabetes

2021 ◽  
Author(s):  
Ninghua Li ◽  
Jing Li ◽  
Cuiping Zhang ◽  
Gongshu Liu ◽  
Junhong Leng ◽  
...  
Keyword(s):  
Gestational Diabetes ◽  
Chinese Women ◽  
Iadpsg Criteria ◽  
Cutoff Points ◽  
Postpartum Diabetes

scholarly journals Effects of obesity and a history of gestational diabetes on the risk of postpartum diabetes and hyperglycemia in Chinese women

2019 ◽  
Vol 156 ◽  
pp. 107828 ◽  
Author(s):  
Yuxin Fan ◽  
Weiqin Li ◽  
Huikun Liu ◽  
Leishen Wang ◽  
Shuang Zhang ◽  
...  
Keyword(s):  
Gestational Diabetes ◽  
Chinese Women ◽  
History Of ◽  
Postpartum Diabetes

scholarly journals Gestational diabetes mellitus is associated with antenatal hypercoagulability and secondary hyperfibrinolysis: a case control study of Chinese women

2019 ◽  
Author(s):  
Yan Liu ◽  
Xiaofang Sun ◽  
Junxian Tao ◽  
Bin Song ◽  
Wei Wu ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Case Control Study ◽  
Chinese Women ◽  
Case Control ◽  
Clot Lysis ◽  
Iadpsg Criteria ◽  
Secondary Hyperfibrinolysis ◽  
Control Study

Abstract Background: To determine the relationship between gestational diabetes mellitus (GDM) and coagulation/fibrinolysis abnormality in antenatal Chinese women. Methods: Case control study. Fifty women had GDM and 132 did not (the NGDM group) grouping by the International Association of Diabetes and Pregnancy Study Groups (IADPSG) criteria. Maternal plasma biochemistry and previous medical history were collected from perinatal health records. Antenatal coagulation/fibrinolysis activity(CFA) parameters was assessed using thromboelastography and routine CFA parameters respectively. Univariate and multiple regression analyses were used to evaluate the associations between GDM and CFA parameters. Results: The women with GDM were significantly older than those without GDM (30.3 vs. 28.6 years, P=0.012). Compared with the NGDM group, the GDM group had a significantly higher prevalence of cesarean delivery (56.0% vs. 37.9%, P=0.027) and higher values of fibrinogen (FIB) (4.7vs. 4.3 g/L P=0.001), activated partial thromboplastin time (APTT) (30.9 vs. 29.5 seconds P=0.010).There were no significant differences in the prevalence of maternal thrombotic events or neonatal events.GDM was significantly associated with higher APTT (β 1.41seconds, 95% CI 0.29–2.53), FIB (β 0.38g/L, 95% CI 0.14–0.61), and percentage reduction in clot lysis after 30 min(LY30)(β 1.14%, 95% CI 0.15–2.13) after adjustment for potential confounding factors. Conclusions: GDM is significantly associated with hypercoagulability and secondary hyperfibrinolysis in these antenatal Chinese women.

scholarly journals Effects of lifestyle intervention during pregnancy on postpartum diabetes among Chinese women with gestational diabetes

Diabetologia ◽  
2020 ◽  
Vol 64 (1) ◽  
pp. 255-258
Author(s):  
Ninghua Li ◽  
Jinnan Liu ◽  
Cuiping Zhang ◽  
Gongshu Liu ◽  
Junhong Leng ◽  
...  
Keyword(s):  
Gestational Diabetes ◽  
Lifestyle Intervention ◽  
Chinese Women ◽  
Postpartum Diabetes

scholarly journals Beta-cell dysfunction is the primary contributor to the early postpartum diabetes among Chinese women with history of gestational diabetes mellitus

2008 ◽  
Vol 121 (8) ◽  
pp. 696-700 ◽  
Author(s):  
Xiao-pei CAO ◽  
Hai-peng XIAO ◽  
Song-jin CHEN ◽  
Yan-feng ZHAN ◽  
Ling-ling XIU ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Beta Cell ◽  
Chinese Women ◽  
Beta Cell Dysfunction ◽  
Cell Dysfunction ◽  
Early Postpartum ◽  
History Of ◽  
Postpartum Diabetes

scholarly journals The Impact of Diagnostic Criteria for Gestational Diabetes Mellitus on Adverse Maternal Outcomes: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 10 (4) ◽  
pp. 666
Author(s):  
Fahimeh Ramezani Tehrani ◽  
Marzieh Saei Ghare Naz ◽  
Razieh Bidhendi Yarandi ◽  
Samira Behboudi-Gandevani
Keyword(s):  
Systematic Review ◽  
Gestational Diabetes ◽  
Pregnant Women ◽  
Diagnostic Criteria ◽  
Meta Analysis ◽  
Population Based ◽  
Maternal Outcomes ◽  
Care Providers ◽  
Iadpsg Criteria ◽  
The Impact

This systematic review and meta-analysis aimed to examine the impact of different gestational-diabetes (GDM) diagnostic-criteria on the risk of adverse-maternal-outcomes. The search process encompassed PubMed (Medline), Scopus, and Web of Science databases to retrieve original, population-based studies with the universal GDM screening approach, published in English language and with a focus on adverse-maternal-outcomes up to January 2020. According to GDM diagnostic criteria, the studies were classified into seven groups. A total of 49 population-based studies consisting of 1409018 pregnant women with GDM and 7,667,546 non-GDM counterparts were selected for data analysis and knowledge synthesis. Accordingly, the risk of adverse-maternal-outcomes including primary-cesarean, induction of labor, maternal-hemorrhage, and pregnancy-related-hypertension, overall, regardless of GDM diagnostic-criteria and in all diagnostic-criteria subgroups were significantly higher than non-GDM counterparts. However, in meta-regression, the increased risk was not influenced by the GDM diagnostic-classification and the magnitude of the risks among patients, using the IADPSG criteria-classification as the most strict-criteria, was similar to other criteria. In conclusion, a reduction in the diagnostic-threshold increased the prevalence of GDM, but the risk of adverse-maternal-outcome was not different among those women who were diagnosed through more or less intensive strategies. Our review findings can empower health-care-providers to select the most cost-effective approach for the screening of GDM among pregnant women.

137 Low risk of postpartum diabetes in women with gestational diabetes and normal early pregnancy HgbA1c

2021 ◽  
Vol 224 (2) ◽  
pp. S93-S94
Author(s):  
Catherine E. Callinan ◽  
Kent Heyborne ◽  
Karilynn Rockhill ◽  
Brendan Boe
Keyword(s):  
Gestational Diabetes ◽  
Early Pregnancy ◽  
Low Risk ◽  
Postpartum Diabetes

scholarly journals High probability of false-positive gestational diabetes mellitus diagnosis during early pregnancy

2020 ◽  
Vol 8 (1) ◽  
pp. e001234
Author(s):  
Sayuri Nakanishi ◽  
Shigeru Aoki ◽  
Junko Kasai ◽  
Ryosuke Shindo ◽  
Soichiro Obata ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Early Pregnancy ◽  
Therapeutic Intervention ◽  
False Positive ◽  
Early Onset ◽  
Oral Glucose ◽  
Study Cohort ◽  
Iadpsg Criteria

IntroductionThis study aimed to assess the validity of applying the International Association of Diabetes and Pregnancy Study Group (IADPSG) criteria for the diagnosis of gestational diabetes mellitus (GDM) at any time during pregnancy.Research design and methodsThis multicenter cohort study was conducted at five Japanese facilities from January 2018 to April 2019. The study cohort included women at a high risk of GDM who met one or more of the following IADPSG criteria during early pregnancy: fasting plasma glucose (FPG) ≥92 mg/dL and 75 g oral glucose tolerance test (OGTT) value of ≥180 mg/dL at 1 hour, or ≥153 mg/dL at 2 hour (hereafter early-onset GDM). Women diagnosed with early-onset GDM were followed up without therapeutic intervention and underwent the 75 g OGTT again during 24–28 weeks of gestation. Those exhibiting the GDM patterns on the second 75 g OGTT were diagnosed with true GDM and treated, whereas those exhibiting the normal patterns were diagnosed with false positive early GDM and received no therapeutic intervention.ResultsOf the 146 women diagnosed with early-onset GDM, 69 (47%) had normal 75 g OGTT values at 24–28 weeks of gestation, indicating a false-positive result. FPG levels were significantly higher in the first 75 g-OGTT test than in the second 75 g-OGTT test (93 mg/dL and 87.5 mg/dL, respectively; p<0.001). FPG levels were high in 86 (59%) women with early-onset GDM during early pregnancy but in only 39 (27%) women during mid-pregnancy. Compared with false positive early GDM, true GDM was more frequently associated with adverse pregnancy outcomes.ConclusionsAlthough women with early-onset GDM were followed up without treatment, the results of repeated 75 g OGTT during mid-pregnancy were normal in about 50%. Our data did not support the adoption of IADPSG thresholds for the diagnosis of GDM prior to 20 weeks of gestation.

scholarly journals Incidence of Postpartum Diabetes and Glucose Intolerance among Filipino Patients with Gestational Diabetes Mellitus seen at a Tertiary Hospital

2013 ◽  
Vol 28 (1) ◽  
pp. 56-63 ◽  
Author(s):  
Chandy Lou Malong ◽  
◽  
Aileen Sia-Atanacio ◽  
Aimee Andag-Silva ◽  
Elaine Cunanan
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Glucose Intolerance ◽  
Tertiary Hospital ◽  
Postpartum Diabetes
Sign in / Sign up

Export Citation Format

Share Document