scholarly journals Incidence and Glycemic Status of Infants of Diabetic Mothers among 189 Hospitalized Low Birth Weight Babies

2017 ◽  
Vol 5 (1) ◽  
pp. 4-8
Author(s):  
Ashith Chandra Das ◽  
Md Tarek Azad ◽  
Nure Ishrat Nazme ◽  
Jannatul Ferdush Chowdhury ◽  
Zainab Rahman ◽  
...  

Background: The prevalence of gestational diabetes mellitus (GDM) is 9.7% in Bangladesh. Infants of diabetic mothers (IDM) have a significant chance to develop various complications including glucose instability.Objective: To find out the incidence of IDM among low birth weight (LBW) babies and their relation with blood glucose level during 1st 48 hours of life.Materials and method: This cross sectional study was conducted from July 2012 to June 2013 on 189 LBW babies with birth weight <2500 gram up to 1000 gram admitted within 3 hours of life in the neonatal unit of Jalalabad Ragib Rabeya Medical College Hospital, Sylhet, Bangladesh. Detailed history including maternal history of GDM was taken. Blood glucose level was done during admission and at 3 to <6 hours of age, 6 to <24 hours of age and 24-48 hours of age.Results: Among 189 cases, male baby were 136 and female baby were 53. Preterm babies were 49.2% and term babies were 50.8%. Most of the newborn babies were delivered at hospital (78.3%) and by vaginal delivery (75.1%). Among LBW babies, 5% were infants of diabetic mothers. Hypoglycemia was present in 33.3% of infants of diabetic mothers which was significantly higher than infants of non-diabetic mothers (5.6%) within 3 hours of age.Conclusion: Infants of diabetic mothers may present as LBW and may be delivered prematurely and they have high incidence of hypoglycemia during early periods of life.Delta Med Col J. Jan 2017 5(1): 4-8

2017 ◽  
Vol 4 (6) ◽  
pp. 2120
Author(s):  
Priya Jose ◽  
Jenifer Vani ◽  
Peter Prasanth Kumar Kommu ◽  
Satish Korah Kuruvila ◽  
Lalitha Krishnan

Background: In populations with a high incidence of low birth weight, a macrosomia index (ratio of head /chest circumference) may better detect infants of diabetic mothers rather than a birth weight of ≥4000g. The objective of this study was to correlate Macrosomia Index ≤1 (MI) with maternal HbA1c at delivery.Methods: Prospective cross-sectional study in a Medical College Hospital in South India from November 2012 to March 2014.  Study subjects were 715 term consecutive, mother/neonate pairs, booked, inborn and singleton deliveries. Birth weight, head and chest circumference of neonates, and maternal HbA1c at delivery were measured. The calculated macrosmia index (MI) was correlated with maternal HbA1c. Pearson correlation and odd’s ratio were calculated.Results: Of 715 mothers, 68.3% (488/715) had HbA1c >5.4% (range 4.2 to 10.5%), although only 32.7% (234/715) were categorized as gestational diabetics in pregnancy. Odds of Macrosomia Index ≤1 in neonates with maternal HbA1c > 5.4% was 7 times (95%CI: 3.2-15.4) as compared to that of neonates of mothers with HbA1c ≤ 5.4 (p<0.001). 13.4% (96/715) of neonates had MI ≤1 but only 1.4% (10/715) had birth weight of ≥4000g.Conclusions: MI ≤1 correlated with an HbA1c of >5.4% at delivery. Hence, in addition to birth weight ≥4000g, MI ≤1 should also be used to detect macrosomia in infants of diabetic mothers. 


Author(s):  
Ziyad Atiah Almalki ◽  
Ghasham Salem Almarzoqi ◽  
Ghasham Salem Almarzoqi ◽  
Mohannad Solaiman Assery ◽  
Talal Abdullah Alzahrani ◽  
...  

Diabetes is one of the most common chronic diseases, usually appears during childhood or adolescence; however, it can also develop in adults. The objective of this study was to evaluate the knowledge and awareness about diabetes among teaching stuff in Taif province of Saudi Arabia. A cross sectional study, using a structured pre-tested questionnaire, was conducted in Taif. Our study involved 50.5% males and 49.5% were females. The age of participants ranged from less than 30 years old to more than 50 years old. Our results showed that he majority of teaching staff in our sample study are aware of diabetes and how to deal in case of low blood glucose level. However, the knowledge of causes, symptoms, risk factors, complications of diabetes and signs of low blood glucose level was not as high as expected. Therefore, training is required for the teaching stuff as more than half of our sample study had taught a diabetic child.


2021 ◽  
Vol 28 (11) ◽  
pp. 1626-1632
Author(s):  
Abdur Rehman ◽  
Waqas Imran Khan ◽  
Ahmad Iqbal Quddusi ◽  
Aashee Nadeem ◽  
Nazia Fatima ◽  
...  

Objective: To find out the frequency of hypoglycemia among infants of diabetic mothers (IDMs) and factors affecting it. Study Design: Descriptive Cross Sectional study. Setting: Department of Neonatology, The Children’s Hospital and Institute of Child Health, Multan, Pakistan. Period: September 2019 t0 June 2020. Material & Methods: A total of 186 IDMs admitted to department of neonatology during the study period were enrolled. Bed side blood glucose (BG) was measured using “Accu Chek Performa Blood Glucose Meter” at 0, 2, 4, 6, 8, 12, 18 and 24 hours of life. All IDMs (Infants of Diabetic Mothers) were labeled either gestational diabetes mellitus (GDM) or pre GDM (pre-GDM). IDMs noted to have hypoglycemia during 1st 24 hours of life were described as hypoglycemic and others were labeled as normoglycemic IDMs. Results: Hypoglycemia was noted among 77 (41.4%) IDMs. Duration of disease was significantly more among mothers of hypoglycemic infants (27.62+28.8months vs. 19.69+24.41 months, p=0.0444). Significantly more large for gestational age (LGA) IDMs were found to be hypoglycemic in comparison to normoglycaemic ones (32.5% vs. 16.5%, p=0.0110). Among a total of 77 IDMs noted to have hypoglycemia, 34 (44.1%) were born to mothers who had GDM while remaining 43 (55.9%) were born to pre-GDM mothers. Significantly more IDMs were preterm among pre-GDM mothers when compared to GDM mothers (53.5% vs. 23.5%, p=0.0077). Conclusion: Hypoglycemia is frequent problem among IDMs. Increased duration of diabetes among mothers, LGA as well as preterm IDMs are found to have significantly increased risk of developing hypoglycemia.


1970 ◽  
Vol 17 (2) ◽  
pp. 95-98
Author(s):  
AR Mahmood ◽  
GM Sharful Haque ◽  
Tahera Parvin ◽  
SR Karim ◽  
K Osman ◽  
...  

A cross-sectional study was carried out to determine the birth weight status of the newborn babies born at Dhaka Medical College Hospital as well as to find out the prevalence of low birth weight among them. All the new born babies (202) born at the labour room of Dhaka Medical College Hospital during the specified period were included in the study. Maximum newborn babies (78.71%) had birth weight 2.5Kg or more and 21.29% had low birth weight (<2.5 Kg). It was found that mean weight of newborn babies was 2.73 Kg and standard deviation was ± 0.52 Kg. Among them 93.56% were full term babies. In a developing country like ours, occurrence of low birth weight is still very alarming, although it is preventable. Emphasis on health education to inform all the women during antenatal visit about the consequences of low birth weight and significance of delivering the babies with normal birth weight is recommended.   doi: 10.3329/taj.v17i2.3454   TAJ 2004; 17(2): 95-98


2019 ◽  
Vol 8 (2) ◽  
pp. 246
Author(s):  
Ni Putu Wulan Purnama Sari ◽  
Jintana Artsanthia

<p>Due to increasing age, elderly are prone to non-communicable diseases (NCD), such as hypertension (HT) and diabetes mellitus (DM). Easy physical condition monitoring of people with HT and/or DM is by measuring their blood pressure (BP) and/or blood glucose level (BGL) periodically. This study aimed to compare and analyze the differences of BP and BGL among elderly with HT and/or DM in Bangkok and Surabaya. This cross-sectional study involved 100 and 96 elderly with HT and/or DM in communities of Bangkok and Surabaya respectively (n=196). There were three groups of samples which consisted of 60 DM, 68 HT, and 68 DM&amp;HT cases. Instruments used were demography questionnaire, sphygmomanometer, and glucometer. Test of one-way ANOVA, Least Significant Difference (LSD), Kruskal-Wallis, and Mann-Whitney U were used for data analysis (α&lt;.05). There was a significant difference of systolic and diastolic BP found between groups (p=.000 and p=.011 respectively), but no difference found between the groups of HT and DM&amp;HT (p=.657 and p=.330 respectively). There was a significant difference of BGL found between groups (p=.002), but no difference found between the groups of HT and DM (p=.075) and between the groups of DM and DM&amp;HT (p=.066). BP is significantly different between the group of HT and DM in term of systole and diastole, especially in elderly, but BGL is similar. The risk of being HT for elderly with DM is very high. Elderly with DM&amp;HT have high BP and BGL similarly to those with single disease of HT or DM. </p>


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