Diabetes prevention in high-risk women with gestational diabetes

2003 ◽  
Vol 3 (3) ◽  
pp. 185-186
Author(s):  
Mary Ann Banerji
Keyword(s):  
High Risk ◽  
Gestational Diabetes ◽  
Diabetes Prevention ◽  
High Risk Women

scholarly journals Evaluation of glucose challenge test using cut off values 130mg/dl and 140 mg/dl for gestational diabetes mellitus screening

2018 ◽  
Vol 7 (3) ◽  
pp. 801 ◽  
Author(s):  
Tulasa Basnet ◽  
Neelam Pradhan ◽  
Poonam Koirala ◽  
Kesang D. Bista
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
High Risk ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Challenge Test ◽  
Perinatal Outcomes ◽  
High Risk Group ◽  
High Risk Women ◽  
Glucose Challenge

Background: Gestational Diabetes Mellitus (GDM) is associated with several adverse maternal and perinatal outcomes. Thus, screening for early detection of GDM and its treatment is important.Methods: This was hospital based descriptive study done over one year in department of Obstetrics and Gynecology, TUTH, Nepal. Six hundred ninety-seven women fulfilling the inclusion criteria were enrolled at 18-22 weeks of gestation. High risk factors were assessed and GCT was performed in women with risk factors during enrollment. Diagnostic OGTT was performed in women who screened positive (GCT ≥130mg/dl). Screen negative high-risk women were re-screened at 24-28 weeks. In women without known risk factors, GCT was performed at 24-28 weeks and OGTT was performed when screen positive. The diagnosis of GDM was made according to Carpenter and Coustan criteria.Results: Out of 697 enrolled women, 12 were excluded for various reasons and 685 women were analyzed. Women having risk of GDM were 28.9%. The prevalence of GDM was 2.92% and 2.48% with GCT cut off 130 mg/dl and 140 mg/dl respectively. Lowering the threshold to 130 mg/dl identified three extra cases (p=0.010). The prevalence among high risk group was 8.58% and 7.07% with the cut off value 130 mg/dl and 140 mg/dl respectively with three extra cases detected on taking cut off value 130 mg/dl (p=0.014). Among low risk women the prevalence of GDM was same i.e. 0.61% with both the cut off values.Conclusions: Lowering threshold of GCT to 130 mg/dl could identify significant percentage of extra cases of GDM especially in high risk women.

scholarly journals Impact of Early Screening for Gestational Diabetes on Perinatal Outcomes in High-Risk Women

2016 ◽  
Vol 33 (08) ◽  
pp. 758-764 ◽  
Author(s):  
Winston Hong ◽  
Joseph Biggio ◽  
Alan Tita ◽  
Lorie Harper
Keyword(s):  
High Risk ◽  
Gestational Diabetes ◽  
Perinatal Outcomes ◽  
Early Screening ◽  
High Risk Women

scholarly journals Body size modifies the relationship between maternal serum 25-hydroxyvitamin D concentrations and gestational diabetes in high-risk women

2017 ◽  
Vol 72 (3) ◽  
pp. 460-463
Author(s):  
Anita J Valkama ◽  
Jelena M Meinilä ◽  
Saila B Koivusalo ◽  
Jaana Lindström ◽  
Kristiina Rönö ◽  
...  
Keyword(s):  
Body Size ◽  
High Risk ◽  
Gestational Diabetes ◽  
Maternal Serum ◽  
Hydroxyvitamin D ◽  
High Risk Women ◽  
25 Hydroxyvitamin D ◽  
The Relationship

scholarly journals How Can We Increase Postpartum Glucose Screening in Women at High Risk for Gestational Diabetes Mellitus?

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Eeva Korpi-Hyövälti ◽  
David E. Laaksonen ◽  
Ursula Schwab ◽  
Seppo Heinonen ◽  
Leo Niskanen
Keyword(s):  
Diabetes Mellitus ◽  
Primary Care ◽  
High Risk ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Associated Factors ◽  
Oral Glucose ◽  
Central Hospital ◽  
High Risk Women ◽  
Glucose Testing

Women with a history of gestational diabetes mellitus (GDM) are at increased risk for diabetes mellitus but postpartum followup is problematic for frequent nonattendance. Our aim was to increase coverage of postpartum oral glucose tolerance tests (ppOGTTs) and examine associated factors. This was a prospective observational study of altogether 266 high-risk women for GDM from 2005 to 2008 in four Finnish municipalities. The groups were as follows: women (n=54) who had previously participated in early pregnancy lifestyle intervention study and high-risk women (n=102) from the same municipalities studied within one-year after delivery. Furthermore, in two neighboring municipalities nurses were reminded to perform a ppOGTT on high-risk women (n=110). The primary outcome was the prevalence of ppOGTT performed and associated factors. Overall the ppOGTT was performed in 35.7% of women. Only 14.7% of women returned for testing to health care centers, 30.9% after a reminder in municipalities, and 82.5% to the central hospital, respectively. The most important explaining factor was a special call or reminder from the central hospital (OR 13.4 (4.6–38.1),P<0.001). Thus, additional reminders improved communication between primary care and secondary care and more attention to postpartum oral glucose testing in primary care are of great importance.

Investigation of a lifestyle change strategy for high-risk women with a history of gestational diabetes

2014 ◽  
Vol 106 (3) ◽  
pp. e60-e63 ◽  
Author(s):  
Ben J. Smith ◽  
Nancy Cinnadaio ◽  
N. Wah Cheung ◽  
Adrian Bauman ◽  
Linda C. Tapsell ◽  
...  
Keyword(s):  
High Risk ◽  
Gestational Diabetes ◽  
Lifestyle Change ◽  
Change Strategy ◽  
High Risk Women ◽  
History Of
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