Universal versus selective screening for the detection, control and prognosis of gestational diabetes mellitus in Argentina
- 20 March 2009
- journal article
- Published by Springer Nature in Acta Diabetologica
- Vol. 47 (2), 97-103
- https://doi.org/10.1007/s00592-009-0107-6
Abstract
In all, 1,702 unselected pregnant women from the city of La Plata were tested for gestational diabetes mellitus (GDM) and evaluated to determine GDM prevalence and risk factors. In women with GDM, we evaluated compliance with guidelines for GDM management, and perinatal complications attributable to GDM. GDM prevalence was 5.8%, and its risk factors were pre-gestational obesity, previous hyperglycaemia, age > 30 years, previous GDM (and its surrogate markers). In primi-gravida (PG) subjects, GDM was equally prevalent in the presence (4.2%) or absence (4.0%) of risk factors. In multi-gravida (MG) women, although risk factors doubled the prevalence of GDM (8.6%), in the absence of risk factors GDM prevalence was similar to that of PG women (3.9%). Half of all women with GDM received inadequate post-diagnosis obstetric control, and this induced a fourfold increase in infant perinatal complications. In conclusion, all non-hyperglycaemic 24-28-week pregnant women should be tested for GDM, although particular attention must be paid to MG women with risk factors.Keywords
This publication has 16 references indexed in Scilit:
- Contre le dépistage systématique du diabète gestationnelGynécologie Obstétrique & Fertilité, 2008
- Pour le dépistage systématique du diabète gestationnelGynécologie Obstétrique & Fertilité, 2008
- Italian standards for diabetes mellitus 2007: executive summaryActa Diabetologica, 2008
- Prevalence of Gestational Diabetes Mellitus and Pregnancy Outcomes in Iranian WomenTaiwanese Journal of Obstetrics & Gynecology, 2007
- Gestational Diabetes, Pregnancy Hypertension, and Late Vascular DiseaseDiabetes Care, 2007
- Does parity increase insulin resistance during pregnancy?Diabetic Medicine, 2005
- Effect of Treatment of Gestational Diabetes Mellitus on Pregnancy OutcomesNew England Journal of Medicine, 2005
- Is selective screening for gestational diabetes mellitus worthwhile everywhere?Acta Diabetologica, 2004
- Gestational Diabetes MellitusDiabetes Care, 2004
- Universal screening and intensive metabolic management of gestational diabetes: cost-effectiveness in Italy.Acta Diabetologica, 2002