Prevalence of gestational diabetes mellitus – do the new WHO criteria make a difference?

Schmidt, María Inês; Matos, M. C.; Reichelt, Angela J.; Forti, Adriana Costa e; Lima, L. De; Duncan, Bruce Bartholow

doi:10.1046/j.1464-5491.2000.00257.x

Cited by 45 publications

(36 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The calculated cut-off value for height in our sample (163 cm) had low specificity and sensitivity, meaning its discriminating value seems to be relatively weak. BMI better identified subjects at risk for GDM and type 2 diabetes than short stature (22,26). The mean height differs significantly among different ethnic and socioeconomic groups.…”

Section: Discussionmentioning

confidence: 97%

Are short women at risk for gestational diabetes mellitus?

Ogonowski¹,

Miazgowski²

2010

European Journal of Endocrinology

View full text Add to dashboard Cite

Objective: The aim of the study was to assess the influence of height variations on the risk of gestational diabetes mellitus (GDM). Research design and methods: We analyzed the medical records of 1830 Caucasian women with GDM and 1011 healthy pregnant women. The following data were collected: age, prior macrosomia, prior GDM, parity, history of type 2 diabetes in first-degree relatives, weight before pregnancy, weight gain during pregnancy, glucose level at the first obstetric visit, results of the glucose challenge test and oral glucose tolerance test (OGTT), HbA1c, and method for treatment of GDM. Results: Women with GDM were significantly shorter than the healthy controls (165.7G5.6 vs 163.8G6.6 cm; P!0.001). The differences in height were not significant between GDM women who required insulin therapy and those treated with diet alone (PZ0.12). All the studied variables, including height, were independently associated with GDM. Even after adjustment for confounding variables, height was still associated with GDM (odds ratio 0.958, 95% confidence interval: 0.94-0.97; P!0.00001). In women with GDM diagnosed by 75-g OGTT, we found a significant inverse association of height adjusted for age and pregravid weight with 2-h glucose level (bZK0.12; P!0.0001). Conclusions: Caucasian women with GDM are shorter than pregnant women without GDM regardless of the diagnostic criteria used or the severity of glucose intolerance. Although height is an independent predictor for GDM, its predictive value for identifying women at risk is relatively low and should not be considered in selective screening for this disease.

show abstract

Section: Discussionmentioning

confidence: 97%

Are short women at risk for gestational diabetes mellitus?

Ogonowski¹,

Miazgowski²

2010

European Journal of Endocrinology

View full text Add to dashboard Cite

show abstract

“…10,11 It is not possible to detail the criteria used to diagnose diabetes in this study, as the data were obtained from hospital admission forms from diverse hospitals, with codes for birth and associated morbidities. It is probable that some cases of pre-diabetes, which would now be classifi es as DM by the criteria currently in rigor, 17,19 were not categorized as such. Thus, the frequency of DM in hospital deliveries in Ribeirao Preto may be underestimated.…”

Section: Discussionmentioning

confidence: 99%

Diabetes nos partos hospitalares em sistemas de saúde público e privado

et al. 2013

View full text Add to dashboard Cite

OBJETIVE:To analyze trends of diagnoses of diabetes mellitus in hospital deliveries. METHODS:Transversal study analyzing data on hospital deliveries for pregnant women living in Ribeirao Preto, SP, from 1998 to 2007. The data on diabetes mellitus in pregnancy were obtained from the Faculdade de Medicina de Ribeirao Preto of the Universidade de São Paulo Hospital Data Processing Center. The data analyzed were: age group, type of delivery (vaginal or cesarean), length of hospitalization and type of care: public (SUS) or private (private and supplemented health care). RESULTS:There was a 3.9 fold increase in the proportion of deliveries with a record of diabetes in relation to the total number of births (p = 0.01). This increase was of 4.5 times in deliveries in the public health care system (p = 0.01) and 3 times in private care. An increase in the presence of diabetes was observed in all age groups, proportionally larger in lower age groups. The frequency of cesarean delivery in pregnancies which recorded diabetes fell from 64.5% in 1998/1999 to 39.8% in 2006/2007 in the public system; in the private system the frequency remained over 90%. CONCLUSIONS:The presence of diabetes mellitus in hospital deliveries increased throughout the two year periods, despite a fall in the overall number of deliveries and an increase in the number of women of childbearing age living in Ribeirao Preto. This trend means that not only diagnosis and treatment, but also pre-pregnancy interventions which may reverse it are called for.

show abstract

“…According to diagnostic criteria (3), the prevalence of GDM ranges from 1.7 to 11.6% (4,5). The prevalence of GDM could be as high as 18% in some regions if the criteria of the International Association of Diabetes and Pregnancy Study Groups Consensus Panel are used (6).…”

mentioning

confidence: 99%

Dietary Intervention in Patients With Gestational Diabetes Mellitus: A Systematic Review and Meta-analysis of Randomized Clinical Trials on Maternal and Newborn Outcomes

2014

View full text Add to dashboard Cite

OBJECTIVEDiet is the cornerstone treatment of patients with gestational diabetes mellitus (GDM), but its role in maternal and newborn outcomes has been scarcely studied. The purpose of this study was to analyze the efficacy of dietary interventions on maternal or newborn outcomes in patients with GDM. RESEARCH DESIGN AND METHODSA systematic review and meta-analysis of randomized clinical trials (RCTs) of dietary intervention in GDM or pregnancy with hyperglycemia was performed. MEDLINE, Embase, ClinicalTrials.gov, Cochrane, and Scopus were searched through to March 2014. The main evaluated maternal outcomes were proportion of patients using insulin and proportion of cesarean delivery; the newborn outcomes were proportion of macrosomia and hypoglycemia and newborn weight. RESULTSFrom 1,170 studies, nine RCTs, including 884 women aged 31.5 years (28.7-33.2) with 27.4 weeks (24.1-30.3) of gestation, were eligible. We divided the RCTs according to the type of dietary intervention: low glycemic index (GI) (n = 4; 257 patients), total energy restriction (n = 2; 425 patients), low carbohydrates (n = 2; 182 patients), and others (n = 1; 20 patients). Diet with low GI reduced the proportion of patients who used insulin (relative risk 0.767 [95% CI 0.597, 0.986]; P = 0.039) and the newborn birth weight (weight mean differences 2161.9 g [95% CI 2246.4, 277.4]; P = 0.000) as compared with control diet. Total restriction and low carbohydrate diets did not change either maternal or newborn outcomes. CONCLUSIONSA low GI diet was associated with less frequent insulin use and lower birth weight than control diets, suggesting that it is the most appropriate dietary intervention to be prescribed to patients with GDM.

show abstract

Prevalence of gestational diabetes mellitus – do the new WHO criteria make a difference?

Abstract: Prevalence of GDM is minimally altered by the new WHO definition. Although GDM is a common condition, the vast majority of the cases have hyperglycaemia in the range considered impaired glucose tolerance outside pregnancy.

Cited by 45 publications

References 7 publications

Are short women at risk for gestational diabetes mellitus?

Are short women at risk for gestational diabetes mellitus?

Diabetes nos partos hospitalares em sistemas de saúde público e privado

Dietary Intervention in Patients With Gestational Diabetes Mellitus: A Systematic Review and Meta-analysis of Randomized Clinical Trials on Maternal and Newborn Outcomes

Contact Info

Product

Resources

About