Screening for Diabetes in Pregnancy: Is a random blood glucose enough?

1987 ◽  
Vol 4 (2) ◽  
pp. 160-163 ◽  
Author(s):  
N. I. Jowett ◽  
A. K. Samanta ◽  
A. C. Burden
Keyword(s):  
Blood Glucose ◽  
Diabetes In Pregnancy ◽  
Random Blood Glucose ◽  
In Pregnancy

scholarly journals Random Blood Glucose Measurement at Antenatal Booking to Screen for Overt Diabetes in Pregnancy: A retrospective study

Diabetes Care ◽  
2011 ◽  
Vol 34 (10) ◽  
pp. 2217-2219 ◽  
Author(s):  
D. Church ◽  
D. Halsall ◽  
C. Meek ◽  
R. A. Parker ◽  
H. R. Murphy ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Blood Glucose ◽  
Blood Glucose Measurement ◽  
Glucose Measurement ◽  
Diabetes In Pregnancy ◽  
Random Blood Glucose ◽  
Overt Diabetes ◽  
In Pregnancy

scholarly journals Assessment of Health Seeking Behavior of Gestational Diabetes in Pregnancy among Elderly Primi Mother

2021 ◽  
pp. 261-267
Author(s):  
Prachi Dhale ◽  
Pragati Dhawale ◽  
Amrin Dosani ◽  
Gaurav Dongare ◽  
Bali Thool
Keyword(s):  
Blood Glucose ◽  
Gestational Diabetes ◽  
Adverse Pregnancy Outcome ◽  
The Elderly ◽  
Diabetes In Pregnancy ◽  
Health Seeking ◽  
Health Seeking Behavior ◽  
Increased Risk ◽  
Seeking Behavior ◽  
In Pregnancy

Introduction: Gestational diabetes mellitus (GDM) is diagnosed by elevated blood glucose in pregnancy though the definition has changed repeatedly since its first description in the 1960’s. The most frequently reported perinatal consequence of GDM is macrosomia (usually defined as a neonate weighing over 4 kg) which can increase the risk of caesarean section and shoulder dystocia. For the mother, there are also potential longer-term consequences including an increased risk of type 2 diabetes post-pregnancy and/or in later life. The investigators of a large international Hyperglycemia and Adverse Pregnancy Outcome (HAPO) study aimed to identify a cut-point in the continuum to decide the blood glucose level (BGL) thresholds that should be used to define GDM. Objective: To assess the incidence rate of gestational diabetes in pregnancy among the elderly primi mother. To assess the health seeking behavior of gestational diabetes in elderlyprimimothers.  To associate the demographic variables of gestational diabetes in elderly primi mothers. Materials and Methods: A Descriptive research study was to assess the incidence and Health seeking behavior of gestational diabetes in pregnancy among the elderly primi mother. The target population for the study includes all antenatal women (12-36 weeks of gestation) who attend the antenatal clinics of AVBRH Out Patient Department. Sample consists of sub set of units that compose accessible population. In this study sample size was 100 elderly primi mother of selected area of community of Wardha. A tool is an instrument or equipment used for collection of data. A blue print was prepared prior to the construction of knowledge questionnaire based on which items were developed. Results: A finding shows that (41%) were having good, (40%) were having very good, (17%) were having average and (2%) were having excellent knowledge score. The minimum score was 05 and maximum score was 14, the mean score for the test was 8.93 ± 2.23 and mean percentage of knowledge was 59.54%. There was no significant association in relation to age, education, occupation, No.of gravida, income etc.

scholarly journals Initiative for self-control of blood sugar-diabetes in pregnancy

2021 ◽  
Vol 8 (11) ◽  
pp. 5481
Author(s):  
Aisha Syed Wali ◽  
Annum Ishtiaq ◽  
Anum Rahim
Keyword(s):  
Blood Glucose ◽  
Diabetes Education ◽  
Blood Glucose Control ◽  
Cost Effective ◽  
Nutrition Therapy ◽  
Self Control ◽  
Diabetes In Pregnancy ◽  
Middle Income ◽  
Taking Charge ◽  
In Pregnancy

Our aim was to empower underprivileged women to self-control their blood glucose during pregnancy so that optimum blood glucose values and its monitoring can be achieved as outpatient care. A dedicated clinic was established for women with diabetes in pregnancy (DIP), that was focused on diabetes education and training of women. It was conducted by a team of a nutritionist, a trained midwife and residents. The challenges of unaffordability and language barrier were addressed. DIP clinic helped us cut down the cost of inpatient care. Awareness about DIP and its consequences on the baby motivated women to comply with medical nutrition therapy (MNT) and self-monitoring of blood glucose (SMBG). The women attained ownership and the feeling of fulfilment by taking charge of their blood glucose control for the benefit of their babies.  This was a practical, cost-effective and successful health practice initiative of attaining glycemic targets in a lower middle-income population.

1280-PUB: The Impact of Proactive and Personalized Strategies in the Self-Monitoring of Blood Glucose in Women with Diabetes in Pregnancy: The Experience of the Cohort Cuido Mi Embarazo in Mexico

Diabetes ◽  
2021 ◽  
Vol 70 (Supplement 1) ◽  
pp. 1280-PUB
Author(s):  
LUIS ALBERTO MARTINEZ-JUAREZ ◽  
JULIETA LOMELIN-GASCON ◽  
JANINNE ORTEGA-MONTIEL ◽  
ALEJANDRO EFRAÍN BENITEZ-HERRERA ◽  
DIANA REYES-GÓMEZ ◽  
...  
Keyword(s):  
Blood Glucose ◽  
The Self ◽  
Diabetes In Pregnancy ◽  
Self Monitoring ◽  
The Impact ◽  
In Pregnancy

scholarly journals Maternal and neonatal glycaemic control after antenatal corticosteroid administration in women with diabetes in pregnancy: A retrospective cohort study

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246175
Author(s):  
Jeremy F. Tuohy ◽  
Frank H. Bloomfield ◽  
Caroline A. Crowther ◽  
Jane E. Harding
Keyword(s):  
Cohort Study ◽  
Blood Glucose ◽  
Glycaemic Control ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Antenatal Corticosteroid ◽  
Diabetes In Pregnancy ◽  
Neonatal Hypoglycaemia ◽  
Corticosteroid Administration ◽  
In Pregnancy

Objective To describe maternal and neonatal glycaemic control following antenatal corticosteroid administration to women with diabetes in pregnancy. Design Retrospective cohort study Setting A tertiary hospital in Auckland, New Zealand Population Women with diabetes in pregnancy who received antenatal corticosteroids from 2006–2016. Methods Corticosteroid administration, maternal and neonatal glycaemia data were retrieved from electronic patient records. Demographic data were downloaded from the hospital database. Relationships between variables were analysed using multivariate analysis. Main outcome measures Maternal hyperglycaemia and neonatal hypoglycaemia Results Corticosteroids were administered to 647 of 7317 of women with diabetes (8.8%) who gave birth to 715 babies. After an initial course of corticosteroids, 92% and 52% of women had blood glucose concentrations > 7 and > 10 mmol/L respectively. Median peak blood glucose concentration of approximately 10 mmol/L occurred 9 hours after corticosteroid administration and hyperglycaemia lasted approximately 72 hours. Thirty percent of women gave birth within 72 hours of the last dose of corticosteroids. Babies of women who were hyperglycaemic within 24 hours of birth were more likely to develop hypoglycaemia (< 2.6 mmol/L, OR 1.51 [95% CI 1.10–2.07], p = 0.01) and severe hypoglycaemia (≤ 2.0 mmol/L, OR 2.00 [95% CI 1.41–2.85], p < 0.0001) than babies of non-hyperglycaemic mothers. There was no association between maternal glycaemia within 7 days of the last dose of corticosteroids and neonatal hypoglycaemia. Conclusions Hyperglycaemia is common in women with diabetes in pregnancy following antenatal corticosteroid administration. Maternal hyperglycaemia in the 24 hours prior to birth is associated with increased risk of neonatal hypoglycaemia. Limitations included the retrospective study design, so that not all data were available for all women and babies and the glucose testing schedule was variable.

scholarly journals Clinical profiles of diabetic foot ulcer patients undergoing major limb amputation at a tertiary care center in North-eastern Tanzania

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ahmed Shabhay ◽  
Pius Horumpende ◽  
Zarina Shabhay ◽  
Andrew Mganga ◽  
Jeff Van Baal ◽  
...  
Keyword(s):  
Blood Glucose ◽  
Diabetic Foot ◽  
Care Center ◽  
Tertiary Care ◽  
Limb Amputation ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Random Blood Glucose ◽  
North Eastern ◽  
The Mean

Abstract Background Diabetic foot ulcers complications are the major cause of non-traumatic major limb amputation. We aimed at assessing the clinical profiles of diabetic foot ulcer patients undergoing major limb amputation in the Surgical Department at Kilimanjaro Christian Medical Centre (KCMC), a tertiary care hospital in North-eastern Tanzania. Methods A cross—sectional hospital-based study was conducted from September 2018 through March 2019. Demographic data were obtained from structured questionnaires. Diabetic foot ulcers were graded according to the Meggitt-Wagner classification system. Hemoglobin and random blood glucose levels data were retrieved from patients’ files. Results A total of 60 patients were recruited in the study. More than half (31/60; 51.67%) were amputated. Thirty-five (58.33%) were males. Fifty-nine (98.33%) had type II diabetes. Nearly two-thirds (34/60; 56.67%) had duration of diabetes for more than 5 years. The mean age was 60.06 ± 11.33 years (range 30–87). The mean haemoglobin level was 10.20 ± 2.73 g/dl and 9.84 ± 2.69 g/dl among amputees. Nearly two thirds (42/60; 70.00%) had a haemoglobin level below 12 g/dl, with more than a half (23/42; 54.76%) undergoing major limb amputation. Two thirds (23/31; 74.19%) of all patients who underwent major limb amputation had mean hemoglobin level below 12 g/dl. The mean Random Blood Glucose (MRBG) was 13.18 ± 6.17 mmol/L and 14.16 ± 6.10 mmol/L for amputees. Almost two thirds of the study population i.e., 42/60(70.00%) had poor glycemic control with random blood glucose level above 10.0 mmol/L. More than half 23/42 (54.76%) of the patients with poor glycemic control underwent some form of major limb amputation; which is nearly two thirds (23/31; 74.19%) of the total amputees. Twenty-eight (46.67%) had Meggitt-Wagner classification grade 3, of which nearly two thirds (17:60.71%) underwent major limb amputation. Conclusion In this study, the cohort of patients suffering from diabetic foot ulcers treated in a tertiary care center in north-eastern Tanzania, the likelihood of amputation significantly correlated with the initial grade of the Meggit-Wagner ulcer classification. High blood glucose levels and anaemia seem to be also important risk factors but correlation did not reveal statistical significance.

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