Response to Comment on: Zhu et al. Fasting Plasma Glucose at 24–28 Weeks to Screen for Gestational Diabetes Mellitus: New Evidence From China. Diabetes Care 2013;36:2038–2040

Zhu, Wenzhen; Yang, Huixia; Yan, Jie; Kapur, Anil

doi:10.2337/dc13-1189

Cited by 5 publications

(6 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The prevalence rate of GDM based on the IADPSG criteria is a key issue in China, which has increased to 17.5%–18.9% 9,21 . A GDM One-Day Care Outpatient for GDM management was established at Peking University First Hospital.…”

Section: Challenges Of Gdm Management In Chinamentioning

confidence: 99%

Comprehensive Management of Gestational Diabetes Mellitus in China

Wei

Juan

Yang

2021

Maternal-Fetal Medicine

View full text Add to dashboard Cite

Gestational diabetes mellitus (GDM) is one of the most common medical conditions affecting pregnant women. GDM causes increasing concern to obstetricians, and it is associated with early complications and long-term effects for both mothers and their newborns. 1,2 After the twochild policy was fully implemented in China, the incidence of GDM increased further. The diagnostic criteria of GDM have continuously evolved since the emergence of new evidence. There are many important issues such as how to manage the large population of GDM in China, especially in the rural areas. It has been reported the risk of GDM among different ethnic groups is varied, and data from Chinese mainland are lacking in the Hyperglycemia and Adverse Pregnancy Outcomes (HAPO) study. 3 However, it has been proved that the GDM diagnostic criteria according to HAPO study was suitable for China. Here, we aim to focus on the challenges of diagnosis and management strategies for GDM and discuss the proper recommendations on the diagnosis and management of GDM in China.With the rapid socioeconomic and life-style transformation, the prevalence of GDM has risen dramatically in China. 4,5 GDM has become one of the most common problems that affect nearly one-fifth of all pregnant women in China. According to a study conducted in 15 hospitals in Beijing, the prevalence of GDM was 19.7%. 6 GDM has long-term consequences for both mothers and children, including increased risk for obesity, type 2 diabetes, and/or other metabolism syndromes in later life. 1,2 Therefore, it is important to have good glycemic control during pregnancy to prevent adverse pregnancy outcomes and promote maternal and neonatal health. One of the most important problem is how to manage so huge GDM population in China.

show abstract

Section: Challenges Of Gdm Management In Chinamentioning

confidence: 99%

Comprehensive Management of Gestational Diabetes Mellitus in China

Wei

Juan

Yang

2021

Maternal-Fetal Medicine

View full text Add to dashboard Cite

show abstract

“…GDM is one of the most common pregnancy complications and is associated with a higher risk of maternal morbidity and perinatal/neonatal mor-bidity, [1–5] and it also has long-term consequences for both the mothers and the offspring [6–8] . It has been reported that the prevalence of GDM was 17.5% to 18.9% [9,10] . Therefore, the prevention of GDM is particularly important, as well as the standardized management of GDM for DM prevention in adults.…”

Section: Introductionmentioning

confidence: 99%

Risk of gestational diabetes recurrence and the development of type 2 diabetes among women with a history of gestational diabetes and risk factors: a study among 18 clinical centers in China

Wei

Juan

et al. 2022

Chinese Medical Journal

View full text Add to dashboard Cite

Background:Gestational diabetes mellitus (GDM) brings health issues for both mothers and offspring, and GDM prevention is as important as GDM management. It was shown that a history of GDM was significantly associated with a higher maternal risk for GDM recurrence. The incidence of GDM recurrence was unclear because of the incidence of second-child was low before 2016 in China. We aim to investigate the prevalence of GDM recurrence and its associated high-risk factors which may be useful for the prediction of GDM recurrence in China.Methods:A retrospective study was conducted which enrolled participants who underwent regular prenatal examination and delivered twice in the same hospital of 18 research centers. All participants were enrolled from January 2018 to October 2018, where they delivered the second baby during this period. A total of 6204 women were enrolled in this study, and 1002 women with a history of GDM were analyzed further. All participants enrolled in the study had an oral glucose tolerance test (OGTT) result at 24 to 28 weeks and were diagnosed as GDM in the first pregnancy according to the OGTT value (when any one of the following values is met or exceeded to the 75-g OGTT: 0 h [fasting], ≥5.10 mmol/L; 1 h, ≥10.00 mmol/L; and 2 h, ≥8.50 mmol/L). The prevalence of GDM recurrence and development of type 2 diabetes mellitus were calculated, and its related risk factors were analyzed.Results:In 6204 participants, there are 1002 women (1002/6204,16.15%) with a history of GDM and 5202 women (5202/6204, 83.85%) without a history of GDM. There are significant differences in age (32.43 ± 4.03 years vs. 33.00 ± 3.34 years vs. 32.19 ± 3.37 years, P < 0.001), pregnancy interval (4.06 ± 1.44 years vs. 3.52 ± 1.43 years vs. 3.38 ± 1.35 years, P = 0.004), prepregnancy body mass index (BMI) (27.40 ± 4.62 kg/m2vs. 23.50 ± 3.52 kg/m2vs. 22.55 ± 3.47 kg/m2, P < 0.001), history of delivered macrosomia (22.7% vs. 11.0% vs. 6.2%, P < 0.001) among the development of diabetes mellitus (DM), recurrence of GDM, and normal women. Moreover, it seems so important in the degree of abnormal glucose metabolism in the first pregnancy to the recurrence of GDM and the development of DM. There are significant differences in OGTT levels of the first pregnancy such as area under the curve of OGTT value (18.31 ± 1.90 mmol/L vs. 16.27 ± 1.93 mmol/L vs. 15.55 ± 1.92 mmol/L, P < 0.001), OGTT fasting value (5.43 ± 0.48 mmol/L vs. 5.16 ± 0.49 mmol/L vs. 5.02 ± 0.47 mmol/L, P < 0.001), OGTT 1-hour value (10.93 ± 1.34 mmol/L vs. 9.69 ± 1.53 mmol/L vs. 9.15 ± 1.58 mmol/L, P < 0.001), OGTT 2-hour value (9.30 ± 1.66 mmol/L vs. 8.01 ± 1.32 mmol/L vs. 7.79 ± 1.38 mmol/L, P < 0.001), incidence of impaired fasting glucose (IFG) (fasting plasma glucose ≥5.6 mmol/L) (31.3% vs. 14.6% vs. 8.8%, P < 0.001), and incidence of two or more abnormal OGTT values (68.8% vs. 39.7% vs. 23.9%, P < 0.001) among the three groups. Using multivariate analysis, the factors, such as age (1.07 [1.02–1.12], P = 0.006), prepregnancy BMI (1.07 [1.02, 1.12], P = 0.0...

show abstract

“…El papel diagnóstico de la glucosa en ayuno en nuestro estudio fue muy importante. El 74.9% (n = 376/502) de las pacientes fueron diagnosticadas con la glucosa en ayuno con cifra mucho mayor a la reportada por Huhn (49%) 14 , Staltari (27.5%) 15 , Mukesh (28.9%) 16 y Wei-Wei (12.1%) 17 .…”

Section: Discussionunclassified

Prevalencia de diabetes gestacional y factores de riesgo en una población del noreste de México

Violante-Ortiz¹,

Fernández-Ordóñez²,

Requena-Rivera³

et al. 2022

ALAD

View full text Add to dashboard Cite

Objetivo: Conocer la prevalencia actual de diabetes gestacional (DG) y factores de riesgo (FR) asociados en una población del noreste de México. Material y métodos: Estudio descriptivo, transversal y retroprospectivo, incluyó 1,490 embarazadas en el periodo de enero de 2009 a abril de 2020. Se recopilaron datos antropométricos y se aplicó un cuestionario para identificar FR de DG. Si la paciente contaba con 2 FR se les realizaba una curva de tolerancia a la glucosa (CTOG) inicialmente de 100 g (n = 512) y posteriormente de 75 g (n = 978). Resultados: La prevalencia de DG fue de 33.7% (502/1490). El 26% (133/512) mediante CTOG 100 g/3 h y 37.7% (369/978) con CTOG 75 g/2 h. Los principales FR de DG fueron sobrepeso/obesidad (91.2%), resistencia a la insulina (87.8%), antecedentes heredofamiliares (77.9%) y edad ≥ 30 años. Estos mismos factores fueron prevalentes en las mujeres «sanas». El 74.9% de las pacientes tenían la glucosa en ayuno alterada. Conclusión: Nuestro estudio muestra una de las prevalencias más altas de DG reportadas en México. Es necesaria la realización de CTOG prácticamente de manera universal, dada la alta prevalencia de FR en pacientes etiquetadas como sanas.Palabras clave: Diabetes gestacional. Factores de riesgo. Curva de tolerancia oral a la glucosa.

show abstract

Response to Comment on: Zhu et al. Fasting Plasma Glucose at 24–28 Weeks to Screen for Gestational Diabetes Mellitus: New Evidence From China. Diabetes Care 2013;36:2038–2040

Cited by 5 publications

References 4 publications

Comprehensive Management of Gestational Diabetes Mellitus in China

Comprehensive Management of Gestational Diabetes Mellitus in China

Risk of gestational diabetes recurrence and the development of type 2 diabetes among women with a history of gestational diabetes and risk factors: a study among 18 clinical centers in China

Prevalencia de diabetes gestacional y factores de riesgo en una población del noreste de México

Contact Info

Product

Resources

About