Obstetrical outcomes in patients with early onset gestational diabetes
- 28 November 2014
- journal article
- research article
- Published by Taylor & Francis in The Journal of Maternal-Fetal & Neonatal Medicine
- Vol. 29 (1), 27-31
- https://doi.org/10.3109/14767058.2014.991711
Abstract
Objective: The objective of this study was to characterize patients with early onset gestational diabetes and compare outcomes to patients diagnosed with standard gestational diabetes and pregestational diabetes. Methods: This is a retrospective cohort study of patients diagnosed with gestational or pregestational diabetes. All patients received a glucose challenge test at their first prenatal visit to diagnose early onset gestational diabetes and were recommended to have postpartum glucose tolerance tests to detect undiagnosed type 2 diabetes. Outcomes were compared between patients with early onset gestational diabetes and both standard gestational diabetes and pregestational diabetes with p < 0.05 was used for significance. Results: Four hundred and twenty-four patients met the inclusion criteria. Nine percent of the patients with early onset gestational diabetes were found to have undiagnosed type 2 diabetes based on postpartum testing and 91% to have resolution in the postpartum period. No patient with early onset gestational diabetes and resolution in the postpartum period had abnormal screening for renal or ophthalmologic disease, but 5% had abnormal fetal echocardiograms. These patients were more likely to require pharmacotherapy for glycemic control than patients with standard gestational diabetes and less likely than patients with pregestational diabetes (55% versus 39% versus 81%). Conclusion: Most patients diagnosed with early onset gestational diabetes do not have undiagnosed type 2 diabetes but do have unique characteristics and obstetrical outcomes.Keywords
This publication has 7 references indexed in Scilit:
- Practice Bulletin No. 137Obstetrics & Gynecology, 2013
- Standards of Medical Care in Diabetes—2011Diabetes Care, 2011
- International Association of Diabetes and Pregnancy Study Groups Recommendations on the Diagnosis and Classification of Hyperglycemia in PregnancyDiabetes Care, 2010
- Maternal and neonatal outcomes in early glucose tolerance testing in an obstetric population in New York cityjpme, 2009
- Diabetes in PregnancyPublished by Elsevier ,2009
- Rates of Postpartum Glucose Testing After Gestational Diabetes MellitusObstetrics & Gynecology, 2006
- Gestational diabetes mellitus diagnosed during early pregnancyAmerican Journal of Obstetrics and Gynecology, 2000