World diabetes day 2017 focus: antepartum hyperglycaemia (or gestational prediabetes) is more in women below 40 years

Abstract

Prediabetes is a state of hyperglycaemia that is above normal, but below blood glucose threshold for diabetes mellitus. As part of the theme for World Diabetes Day of 2017, it has been articulated by the International Diabetes Federation, that up to 16% of births may be affected by this condition and it is estimated that 50% of the affected antenatal patients are under 30 years old. The notion of gestational prediabetes, hyperglycaemia in pregnancy as a clinical condition is yet to be seriously discussed in regards to prediabetes in pregnancy. Instead, it seems to be subsumed in the discourse of gestational diabetes mellitus. This subsuming position is evident in the fact that even in discussion of management challenges of the ‘hyperglycaemia in pregnancy’ condition, blood glucose thresholds for gestational diabetes refers to higher versus lower cut-offs, but never refers to prediabetes.

Prevalence of gestational diabetes in Eastern Democratic Republic of Congo

“…The observation that pregnant women with GDM tended to be younger is in line with the observation of Orru MI et al who, speaking of gestational pre-diabetes, had observed that relatively younger pregnant women were also affected and this should not exclude them from screening for GDM [2]. The age level of the pregnant women in this study is comparable to that done by Kodjo Agbeko and by Leye A. who respectively observed mean ages of 30.84 ± 4.17 years [16] and 29.8 ± 6.2 years [9].…”

“…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].…”

Gestational diabetes management postpartum in primary healthcare facilities: Mini review update on Delta State Nigeria

“…This narrative review was a progression of ongoing studies and started from preliminary evaluations' data that have been previously published [15][16][17][18][19]. There were separate two clinical audits done at secondary and tertiary health facilities in the state [18,19]; plus one expository review [16].…”

“… Lack of follow up of positive cases, which could be due to BCW factors of capacity/knowledge, motivation and opportunity [17].  Several other barriers arising from the health system including limited resources [19] Figure 1: Healthcare workers perception regarding DSME…”