Diabetes gestacional: implementación de una guía para su detección en la atención primaria de salud / Implementation of a clinical guideline for detection of gestational diabetes in primary care
Rev. méd. Chile
;
147(2): 190-198, Feb. 2019. tab, graf
Article
in Spanish
| LILACS
| ID: biblio-1004332
ABSTRACT
Background:
Gestational diabetes (GD) impacts maternal and fetal morbidity. In 2012, the World Diabetes Foundation provided financing project in Barranquilla (Colombia), aimed to implement a clinical guide for the diagnosis and treatment of this condition.Aim:
To estimate the adherence of the guide in primary care centers. Material andMethods:
A Cross-sectional study of pregnant women suspected of having gestational diabetes. Pregnant women were classified according to the week of admission to the prenatal control program < week 24 or later. Women with a fasting blood glucose over 92 mg/dL and under 126 mg/dL or with some positive result to the oral glucose tolerance test were included.Results:
Nine percent (1,887 women) of 21,699 registries of pregnant women, were at risk for gestational diabetes. Of these, 1,880 registries with complete data were analyzed. Sixty nine entered the program at less than 24 weeks of pregnancy and 71% had had a fasting blood glucose measured in the first control. In 69.2% of these women, criteria for gestational diabetes was met. A glucose tolerance test was suggested to women with a blood glucose below 92 mg/dl. Among 72% of the latter, the glucose tolerance test met the criteria for gestational diabetes. Among the 498 women who entered the program after 24 weeks of gestation, 68% met the criteria for gestational diabetes with the fasting blood glucose levels. In 90 women, a glucose tolerance test was performed and 80% met the criteria for gestational diabetes.Conclusions:
An adequate adherence to guidelines favors the detection of pregnant women with gestational diabetes.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Primary Health Care
/
Mass Screening
/
Diabetes, Gestational
/
Practice Guidelines as Topic
/
Guideline Adherence
Type of study:
Diagnostic study
/
Practice guideline
/
Observational study
/
Prevalence study
/
Prognostic study
/
Risk factors
/
Screening study
Limits:
Adult
/
Female
/
Humans
/
Pregnancy
Country/Region as subject:
South America
/
Colombia
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2019
Type:
Article
Affiliation country:
Colombia
Institution/Affiliation country:
Despacho del alcalde distrital de Barranquilla/CO
/
Fundación Vida Nueva/CO
/
Universidad Simón Bolívar/CO
/
Universidad del Norte/CO
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