Gestational diabetes mellitus: In search of better screening and diagnostic pathway for Sri Lankan women

Herath, H. M. M.

doi:10.4038/gmj.v22i1.7961

Cited by 1 publication

(3 citation statements)

References 25 publications

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“…The observation on this level of young age differs from those of most authors such as Tandu-Umba in Kinshasa [14], Tieu J [17] and Diane Farrar [4], who had observed that advanced age was a risk factor for eligibility for selective GDM screening. There is little consensus on age as a criterion for selective screening of GDM as recommended by certain groups of experts cited by Mirghani Dirar [18], contrary to the observation of Herath HM M who found GDM in increasingly young pregnant women in Sri Lanka [3]. This could suggest further exploration of this parameter as a criterion for selective screening.…”

Section: Discussionmentioning

confidence: 91%

“…Pregnancy follow-up, whatever the level of the health facility, should methodically make it possible to detect glucose intolerance according to the required criteria without missing borderline situations, because of epidemiological presumptions [2], even if it there is some controversy over the standard test for screening [3].…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, the discovery of GDM portends a recurrence of 30-84% and the risk of type 2 diabetes is multiplied by 7 [1]. This risk can reach 60% within 5 to 15 years after delivery [3].…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of gestational diabetes in Eastern Democratic Republic of Congo

Kisindja

Tugirimana

Prudence³

et al. 2022

BMC Pregnancy Childbirth

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Objective To determine the prevalence of gestational diabetes and associated risk factors in the eastern region of the Democratic Republic of Congo (DRC). Methods A cross-sectional study was conducted in Goma city, Idjwi, Ngungu and Rutshuru districts between April 2019 and February 2021. Pregnant women between 24–28 weeks of amenorrhea who consented to participate in the study were included. Blood sugar, anthropometric parameters and obstetrical and family history were studied. Gestational diabetes was defined as blood glucose level between 92 and 125 mg/dL. Results The overall prevalence was 21.2% (n = 391) and was higher in Rutshuru [27.2% (n = 92)] and Goma [26.9% (n = 134)] compared to Ngungu [10.0% (n = 110)] (p = 0.005). An increased risk was associated with a history of a newborn weighing ≥ 4000 g [OR 2.4 95% CI (1.3 – 4.4)] or family diabetes [OR 2.9 95% CI (2.0 – 4.9)]. Median age in the pathological group was not different from that with normal blood glucose [25.0 (16.0 – 44.0) Vs 26.0 (16.0 – 44.0)] (p = 0.67). The prevalence tended to increase for pregnant women with a mid-upper arm circumference ≥ 280 mm [28.1% (n = 57)] Vs [19.3% (n = 322)] if < 280 mm, [OR (95% CI)] [1.5 (0.9—2.3)] (p = 0.13). Conclusion Gestational diabetes was found in one out of five pregnant women regardless their age. A history of macrosomia birth and diabetes in the family were the main risk factors.

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