Treatment of gestational diabetes diagnosed by the IADPSG criteria decreases excessive fetal growth
Obstetrics & Gynecology Science
; : 19-26, 2020.
Artículo
en Inglés
| WPRIM (Pacífico Occidental)
| ID: wpr-782213
Biblioteca responsable:
WPRO
ABSTRACT
OBJECTIVE: We evaluated the effect on treatment using the new International Association of Diabetes and Pregnancy Study Group (IADPSG) criteria for gestational diabetes mellitus (GDM) diagnosis.METHODS:
Singleton pregnant women whose plasma glucose levels were ≥140 mg/dL on the 50 g glucose challenge test (GCT) underwent 75 g oral glucose tolerance for GDM diagnosis. During the first half of the study period, GDM was diagnosed using 2 abnormal values by Carpenter-Coustan (C-C) criteria. In the second half of the study period, 1 or more abnormal values by IADPSG criteria were used for GDM diagnosis. Pregnant women were classified into 5 groups normal 50 g GCT, positive 50 g GCT but non-GDM, GDM by IADPSG criteria and non-treated, GDM by IADPSG criteria and treated, GDM by C-C criteria and treated. The odds ratios (ORs) for large for gestational age (LGA) and macrosomia were analyzed.RESULTS:
Of the 2,678 patients, the frequency of GDM diagnosed by C-C and IADPSG criteria was 2.6% and 7.5%. ORs (95% confidence intervals [CIs]) for LGA and macrosomia in the group with GDM by IADPSG criteria and non-treated were 2.81 (95% CI, 1.47–5.38) and 2.84 (95% CI, 1.08–7.47). The risk of LGA and macrosomia did not increase in the group with GDM by IADPSG criteria and treated.CONCLUSION:
The risk of LGA and macrosomia for mild GDM diagnosed solely by IADPSG criteria depends on whether they are treated or not. Treatment of GDM based on IADPSG criteria reduces the risk of excessive fetal growth.Trial RegistrationClinical Research Information Service Identifier KCT0000776
Texto completo:
Disponible
Contexto en salud:
ODS3 - Meta 3.4 Reducir las muertes prematuras por enfermedades no transmisibles
Problema de salud:
Diabetes Mellitus
/
Enfermedades del Sistema Endocrino
Base de datos:
WPRIM (Pacífico Occidental)
Asunto principal:
Glucemia
/
Oportunidad Relativa
/
Edad Gestacional
/
Diabetes Gestacional
/
Mujeres Embarazadas
/
Desarrollo Fetal
/
Diagnóstico
/
Glucosa
/
Prueba de Tolerancia a la Glucosa
/
Servicios de Información
Tipo de estudio:
Estudio diagnóstico
/
Estudio de etiología
/
Estudio pronóstico
Límite:
Femenino
/
Humanos
/
Embarazo
Idioma:
Inglés
Revista:
Obstetrics & Gynecology Science
Año:
2020
Tipo del documento:
Artículo