scholarly journals Trends in prevalence of gestational diabetes mellitus in Zhejiang Province, China, 2016–2018

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Meng Wang ◽  
Ru-Ying Hu ◽  
Wei-Wei Gong ◽  
Jin Pan ◽  
Fang-Rong Fei ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Rural Areas ◽  
Urban Areas ◽  
Age Groups ◽  
Zhejiang Province ◽  
Advanced Age ◽  
Female Population ◽  
Annual Prevalence

Abstract Background Limited population-based studies have investigated the secular trend of prevalence of gestational diabetes mellitus (GDM) in mainland China. Therefore, this study aimed to estimate the prevalence of GDM and time trends in Chinese female population. Methods Based on Diabetes Surveillance System of Zhejiang Province, 97,063 diagnosed GDM cases aged 20–50 years were identified from January 1, 2016 to December 31, 2018. Annual prevalence, prevalence rate ratios (PRRs) and average annual percentage change with their 95% confidence intervals (CIs) were reported. Results The age-standardized overall prevalence of GDM was reported to be 7.30% (95% CI 7.27–7.33%); 9.13% (95% CI 9.07–9.19%) in urban areas and 6.24% (95% CI 6.21–6.27%) in rural areas. Compared with 20–24 years age group, women in advanced age groups (25–50 years) were at higher risk for GDM (PRRs ranged from 1.37 to 8.95 and the 95% CIs did not include the null). Compared with rural areas, the risk for GDM was higher in urban areas (PRR: 1.69, 95% CI 1.67–1.72). The standardized annual prevalence increased from 6.02% in 2016 to 7.94% in 2018, with an average annual increase of 5.48%, and grew more rapidly in rural than urban areas (11.28% vs. 0.00%). Conclusions This study suggested a significant increase in the prevalence of GDM among Chinese female population in Zhejiang province during 2016–2018, especially in women characterized by advanced age and rural areas.

scholarly journals Most frequent problems of pregnant women with gestational diabetes mellitus

2016 ◽  
Vol 126 (3) ◽  
pp. 107-111 ◽  
Author(s):  
Grażyna J. Iwanowicz-Palus ◽  
Marta Zarajczyk ◽  
Aleksandra Jakubowska ◽  
Agnieszka Bień ◽  
Ewa Rzońca
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Pregnant Women ◽  
Rural Areas ◽  
Glucose Monitoring ◽  
Blood Glucose Monitoring ◽  
Professional Activity ◽  
Psychological Burden ◽  
Socio Demographic Factors

Abstract Introduction. Gestational diabetes mellitus (GDM) is the most common metabolic disorder happening to pregnant women. Some. 3-5% of all pregnant women in Poland are diagnosed with the condition. Glucose tolerance disorders or gestational diabetes recur in about 30% of women during their second (or next) pregnancy. Controlling diabetes involves many new responsibilities and sacrifices that may be difficult to bear for a pregnant woman. Aim. The aim of the present study was to examine the most common problems among pregnant women with gestational diabetes Material and methods. The study was conducted between 2015 and 2016. The authors used a diagnostic survey on 120 pregnant women with diabetes who were patients in gestational pathology and conservative gynecological treatment departments and diabetic outpatient clinics in Lublin. The χ2 test of independence was used to examine correlations between socio-demographic factors and problems experienced by pregnant women with gestational diabetes. Results. Problems with keeping a blood glucose monitoring diary were reported by women from cities different than province capitals (75%). Childless women reported problems with pricking their finger multiple times a day (60%). Insulin injections were perceived as a GDM-related problem mostly by women aged 31-35 (41.2%), women in their second pregnancy (61.8%) and women with more than one child (47.1%). Frequent visits to the doctor were perceived as a problem mostly by women aged less than 26 (42.3%), women living in rural areas (57.7%), women with higher education (84.6%), women in their first pregnancy (61.5%) and women without children (73.1%). The two last groups additionally indicated psychological burden (84.2% and 78.9%, respectively). Anxiety about the occurrence of type 2 diabetes was mainly expressed by women aged 26-30 (35.3%) and those in their second pregnancy (52.9%), whilst working women expressed concern for their own lives (78.6%). Conclusions. There is a correlation between selected problems experienced by pregnant women with GDM and socio-demographic variables such as: age, place of residence, education, professional activity and number of pregnancies and children. The results obtained suggest that there is a need for educating women about the most frequent problems that accompany pregnancy with GDM.

scholarly journals Diet Quality among Women with Previous Gestational Diabetes Mellitus in Rural Areas of Hunan Province

2020 ◽  
Vol 17 (16) ◽  
pp. 5942
Author(s):  
Mingshu Li ◽  
Jingcheng Shi ◽  
Jing Luo ◽  
Qing Long ◽  
Qiping Yang ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Ethnic Minority ◽  
Diet Quality ◽  
Rural Areas ◽  
Healthy Eating Index ◽  
Dietary Guidelines ◽  
Hunan Province ◽  
Linear Regression Models

Diet quality is critical for postpartum type 2 diabetes mellitus (T2DM) progression among women with a history of gestational diabetes mellitus (GDM). The Chinese Healthy Eating Index (CHEI) is a dietary index developed according to the latest Chinese Dietary Guidelines (CDG-2016). Our study aimed to assess the diet quality of women with previous GDM in rural areas of Hunan Province by applying the CHEI. Women with previous GDM in two counties of Hunan were enrolled. Their food intake data, which were used to calculate their CHEI scores, were collected by a 24-h dietary recall. The association of CHEI with sociodemographic and anthropometric variables was evaluated via linear regression models. 404 women were included in the final analysis. The mean score of the total CHEI was 54.9 (SD 7.9). The components of whole grains and mixed beans, seeds and nuts, tubers, dairy, and poultry scored extremely low. Ethnic minority groups and women younger than 30 years had lower CHEI scores. Our study observed an unsatisfactory diet quality among women with previous GDM in rural areas of Hunan Province. Future dietary education focusing on the CDG is needed to improve their diet quality and help in T2DM prevention among this population, especially young and ethnic minority women.

Incidence and Prevalence of Pregnant Women with Gestational Diabetes Mellitus, Thyroid Disorders and Eclampsia in Khammam Region, Telangana State

2017 ◽  
Vol 3 (4) ◽  
pp. 367-371
Author(s):  
. Ravali ◽  
B. Sravani ◽  
P. Suresh Kumar
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Pregnant Women ◽  
Age Groups ◽  
Tertiary Hospital ◽  
Thyroid Disorders ◽  
Rural And Urban ◽  
Telangana State ◽  
Sugar Levels

Objective: The aim of this study was to estimate the incidence and prevalence of Gestational Diabetes Mellitus (GDM), Thyroid dysfunction and Eclampsia in pregnant women prior to delivery. Methods: An observational retrospective study was conducted between December 2016 and June 2017 in a District Headquarters Hospital and two other tertiary antenatal care centers on pregnant women who delivered between 37 and 42 weeks of gestational age. The study participants data was collected prior delivery who were diagnosed as GDM with Random Blood Sugar levels ≥ 140mg/dl, hyperthyroidism with ≤1.1 µIU/ml and hypothyroidism with ≥ 5.5 µIU/ml and Eclampsia in women who had a grand mal seizure with features of preeclampsia. Results: A total of 265 pregnant women was included whose information was sampled. A prevalence of 10.5% (n = 28) was identified with GDM, 77.7% (n = 206) was identified with Thyroid Disorders and 11.6% (n = 31) with Eclampsia who were categorized into rural and urban communities based on age groups. Conclusion: Ignorance regarding antenatal check-up, lack of transport and lack of early communication with a tertiary hospital play an important role for high incidence and prevalence of complications in pregnancy in Khammam region, Telangana State.

scholarly journals Short term effects of maternal obesity on mother and fetus: a prospective study

2018 ◽  
Vol 7 (8) ◽  
pp. 3097
Author(s):  
Amrutha R. Thota ◽  
Ambarisha Bhandiwad ◽  
Vineet Sakhireddy
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Pregnant Women ◽  
Maternal Obesity ◽  
Control Group ◽  
Antenatal Visit ◽  
Female Population ◽  
Risk Pregnancy ◽  
Increased Risk

Background: Obesity is such a common health care problem of female population that have major impact on pregnancy. The worldwide prevalence of obesity is more than doubled in between 1980 and 2015. The objectives of present study are to observe whether obese women have an increased risk of pregnancy related complications and adverse fetal outcome and also to compare pregnancy outcomes in different classes of BMI in obese group.Methods: A prospective observational study conducted in OBG department JSS Hospital, Mysore from November 2014 to July 2016. All pregnant women attending OPD and inpatients of antenatal wards were screened for pre-pregnancy BMI. Total number of singleton births were 5727 in our institution. Out of which 314 obese pregnant women were included in the study group, remaining 5413 non-obese pregnant mothers were taken as control group respectively. They are closely monitored in every antenatal visit for development of complications such as pre-eclampsia, gestational diabetes mellitus, increased rate of caesarean section and presence of macrosomia (B.wt >3.5kg).Results: In comparison to normal BMI pregnant women, obese mothers had an increased risk of gestational hypertension (16.9% versus 2.0%, OR-2.3) gestational diabetes mellitus (35.7% versus 3.1%, OR-2.84), preeclampsia (23.9% versus 5%,0R-1.64) cesarean sections (75.2% versus 65.4%), macrosomia (45.9% versus 22%, OR-1.64), it was also found that as BMI increases the incidence of these complications increase as seen in different classes of obese population.Conclusions: Pregnancy associated with obesity is considered as a high-risk pregnancy and obesity being a modifiable risk factor, educating women in early pregnancy and preconceptional counseling regarding harmful effects of obesity and information regarding appropriate gestational weight gain is essential. 

scholarly journals Gestational Diabetes Mellitus Knowledge Assessment among Saudi Women

2018 ◽  
Vol 6 (8) ◽  
pp. 1522-1526 ◽  
Author(s):  
Ahmad S. Alharthi ◽  
Khalid A. Althobaiti ◽  
Khaled A. Alswat
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Saudi Arabia ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Urban Areas ◽  
Good Knowledge ◽  
Prior History ◽  
Poor Knowledge ◽  
Validated Questionnaire

BACKGROUND: IDF estimates that 16.2% of women giving live births in 2015 had some form of hyperglycemia during pregnancy. In Saudi, a study estimated that the prevalence of gestational diabetes mellitus (GDM) is 39.4%.AIM: We aimed to assess Saudi women's GDM knowledge and awareness.METHODS: A cross-sectional study was conducted between August and December 2016 in Saudi Arabia using a validated questionnaire that included 12 questions focused on awareness and knowledge about GDM. Their responses were scored, and participants were divided poor knowledge (≤ 4/12) fair/good knowledge (≥ 5/12).RESULTS: A total of 9002 adult female participated. Mean age was 27.8 ± 7.9, and they were mainly married urban residents with bachelor's degrees or higher. The mean overall score was 5.5 ± 2.5 with most of them in the fair GDM knowledge category. Participants were mostly aware of the GDM risk factors (54%) while they were least aware of the GDM diagnosis (15.9%). Multigravida and a prior history of GDM were the two risk factors about which participants were most aware (67.7%). Compared to those with poor knowledge, those with fair/good knowledge were more likely to live in urban areas, live in the central region of Saudi Arabia, work in medical fields, and be married, educated, and have personal and/or family histories of chronic diseases (all P values < 0.001).CONCLUSION: Our study showed a high prevalence of poor awareness and knowledge, mainly in those areas relating to GDM diagnosis.

scholarly journals A community based screening of gestational diabetes mellitus within 16 weeks of pregnancy: a study from Mysuru district, Karnataka

2018 ◽  
Vol 5 (6) ◽  
pp. 2266
Author(s):  
Abhishek Kumar Sinha ◽  
Madhu B. ◽  
Narayana Murthy M. R.
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Glucose Level ◽  
Rural Areas ◽  
Aged Care ◽  
Mean Difference ◽  
Oral Glucose ◽  
Perinatal Complications ◽  
Aged Care Facilities

Background: Gestational diabetes mellitus is defined as carbohydrate intolerance with onset/recognition during pregnancy where maternal and perinatal complications are increased. Aged care facilities in rural areas reports disparity in the management of gestational diabetes as compared with urban counter parts. As a need to address this, study conducted with objective to estimate prevalence of gestational diabetes mellitus within 16 weeks of gestation for GDM by oral glucose challenges test.Methods: Antenatal mothers attending primary health centers within 16 weeks of gestation were screened for GDM. Two hours, venous samples were calculated for estimation of blood glucose level. Plasma glucose level of >140mg/dl was considered as OGTT positive.Results: Among 301 patients examined 11 mothers had OGTT positive results. GDM was seen in 3.7% of Mothers. GDM is found significantly associated with increasing age (p=0.01, t=2.52, mean difference 2.54 CI 0.5-4.5), weight (p=0.04, t=2.24, mean difference 10.8 CI 0.11-21.5), and BMI (p<0.01, t=2.97, mean difference 3.6 CI 1.2-6). GDM was seen more in multigravida (P=0.01). Statistically significant association of GDM was found with mean systolic (p<0.01, t=2.62, mean difference 8.08 CI 2.01-14.14) and diastolic blood pressure (P<0.01, t=3.44, mean difference 7.87 CI 3.38-12.36). A multiple regression shows these variables statistically significantly predicted GDM, F (5, 295)= 7, p<0.001, R2=0.106.Conclusions: GDM is statistically associated with increasing age, increasing weight, BMI and multiple gravida in pregnancy. It is recommended to screen for GDM within the 1st trimester & follow up needed to prevent further complications.

Pregnancy Complications and Risk of Uterine Rupture: a Study Based on More Than 9 Million Singleton Pregnant Women

2021 ◽  
Author(s):  
Jing Tao ◽  
Yi Mu ◽  
Peiran Chen ◽  
Yanxia Xie ◽  
Juan Liang ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Gestational Age ◽  
Pregnancy Complications ◽  
Placental Abruption ◽  
Placenta Accreta ◽  
Placenta Previa ◽  
Age Groups ◽  
Increased Risk

Abstract To investigate whether pregnancy complications are associated with increased risk of UR and how that risk changes with gestational age. We obtained all data from China’s National Maternal Near Miss Surveillance System (NMNMSS) between 2012 and 2018. Poisson regression analysis was used to assess the risk of UR with pregnancy complications (preeclampsia, gestational diabetes mellitus, placental abruption, placenta previa and placenta accreta) among 9,502,250 pregnant women. Furthermore, we analyzed the risks of UR with pregnancy complications in different gestational age groups. Compared to women without pregnancy complications, those with different complications (except for preeclampsia) had a 1- to 3-fold greater risk of UR. These associations also persisted in women without previous cesarean delivery. Women with placental abruption or placenta accreta had an increased risk of UR in all gestational age groups, while the increased risk of UR among women with placenta previa was only observed at term. Moreover, an increased risk of UR among women with gestational diabetes mellitus was only observed at 32 to 36 weeks gestation and increased with the offspring’s birth weight. Better quality antenatal care and early intervention for women with these pregnancy complications are needed to minimize the incidence of UR.

scholarly journals Insulin Receptor Substrate-1 (IRS-1) Gly927Arg: Correlation with Gestational Diabetes Mellitus in Saudi Women

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Khalid Khalaf Alharbi ◽  
Imran Ali Khan ◽  
Zeinab Abotalib ◽  
Malak Mohammed Al-Hakeem
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Insulin Receptor ◽  
Critical Role ◽  
Insulin Receptor Substrate ◽  
Insulin Receptor Substrate 1 ◽  
Female Population ◽  
Women Subjects ◽  
Saudi Women

Pregnant women with gestational diabetes mellitus (GDM) and type 2 diabetes mellitus (T2DM) share a common pathophysiology associated with similar risk factors. Genetic variants used to determine the risk of developing T2DM might also be associated with the prevalence of GDM. The aim of the present study was to scrutinize the relationship between the G972R polymorphism of the insulin receptor substrate-1 (IRS-1) gene with GDM in the Saudi female population. This is a case-control study that monitored 500 Saudi women. Subjects with GDM (n=200) were compared with non-GDM (n=300) controls. We opted to evaluate rs1801278 polymorphism in the IRS1 gene, which plays a critical role in the insulin-signaling pathway. Genotyping was performed with the Polymerase Chain Reaction-Restriction Fragment Length Polymorphism (PCR-RFLP) method. The frequency of the rs1801278 polymorphism was significantly higher in women with GDM than in women with non-GDM (for TT + CT versus CC:P=0.02). Additionally, there was a significant increase in the frequency of the Arg-encoding mutant allele from GDM to non-GDM (for T versus C:P=0.01). Our results suggest that the rs1801278 polymorphism in theIRS-1gene is involved in the occurrence of GDM in the Saudi population.

scholarly journals Study on knowledge about gestational diabetes mellitus and its risk factors among antenatal mothers attending care, urban Chidambaram

2018 ◽  
Vol 5 (10) ◽  
pp. 4388
Author(s):  
D. Lakshmi ◽  
A. John William Felix ◽  
R. Devi ◽  
M. Manobharathi
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Rural Areas ◽  
Health Centre ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Adequate Knowledge ◽  
Fetal Complications

Background: Gestational diabetes mellitus (GDM) is a growing epidemiological problem. GDM is defined as the glucose intolerance during pregnancy. Treatment of GDM is important to avoid maternal and fetal complications. The objectives of this study was to assess the knowledge about GDM among antenatal mothers and to find out the association between knowledge and demographic factors.Methods: A descriptive cross sectional study was done among 191 antenatal mothers in Maternity Health Centre and Government Hospital, Chidambaram during September 2017. A pre tested questionnaire was used to assess knowledge about GDM among all antenatal mothers attending OP.Results: Among the participants, 49.2% were in the age group of 21–25 years, 93.7% of them were housewives, 56.0% of them have studied up to higher secondary level and 72.8% of them were living in rural areas. In this study it was found that 35.2% of the participants had adequate knowledge about GDM and 21.5% had adequate knowledge about its risk factors. Education and residence were found to be associated with knowledge and risk factors of GDM which is statistically significant (p<0.05).Conclusions: The knowledge of antenatal women on GDM was just average. There is a need for training the physicians, paramedical people, and public regarding GDM. Health education programs must be conducted to improve the awareness among antenatal women for better utilization of health services. A regular screening of GDM among all pregnant women should be promoted in all health centres.

Gestational diabetes in Manitoba during a twenty-year period

2008 ◽  
Vol 31 (3) ◽  
pp. 131 ◽  
Author(s):  
Naji Aljohani ◽  
Brenda M. Rempel ◽  
Sora Ludwig ◽  
Margaret Morris ◽  
Kelly McQuillen ◽  
...  
Keyword(s):  
Gestational Diabetes ◽  
Pregnant Women ◽  
Rural Areas ◽  
Urban Areas ◽  
Study Data ◽  
Advanced Age ◽  
Logistic Regression Models ◽  
Rural And Urban Areas ◽  
Rural Living ◽  
History Of

Purpose: This retrospective cohort study was designed to examine the prevalence and risk factors of gestational diabetes mellitus (GDM) in Manitoba. Methods: A total of 324,605 deliveries by 165,969 women were reported to Manitoba Health in the years 1985-2004. Data on maternal ages, delivery dates, GDM, self-declared First Nation (FN) status, rural or urban residence and previous GDM were collected for the study. Data were analyzed using multivariate logistic regression models. Results: The prevalence of GDM during the 20-year period was 2.9%, which was 2.3% in 1985-1989 and 3.7% in 1999-2004 (P < 0.01). The trend of increase in the prevalence of GDM continued after major modifications on the screening and diagnostic criteria for GDM in 1998. The prevalence of GDM in FN women was 3-times greater than that in non-FN women. Higher prevalence of GDM was detected in FN pregnant women living in rural areas compared to those in urban areas (P < 0.01), which was opposite for non-FN pregnant women living in rural and urban areas. The prevalence of GDM in pregnant women ?35 yr was 2.3-fold higher than that in those < 35 yr (P < 0.01). The recurrent rate of GDM was 44.4%. Adjusted odds ratios of GDM for FN status, advanced age, a history of GDM and rural living were 2.2, 2.4, 25.1 and 0.8, respectively. Conclusions: The prevalence of GDM is increased in Manitoba. FN status, advanced age and a history of GDM, but not rural living, are independent predictors for GDM.

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