PMID: 9420853May 1, 1995Paper

Can a diagnosis of gestational diabetes be an advantage to the outcome of pregnancy?

Journal of the Society for Gynecologic Investigation
R G Moses, R D Griffiths

Abstract

We examined the obstetric outcomes of 138 treated women with gestational diabetes mellitus (GDM) compared with 144 women who had a 2-hour, 75-g glucose tolerance test result of between 7.0 and 7.9 mmol/L (126 and 142 mg/dL, respectively). The subjects for this study were consecutive patients from a universal testing program for GDM during 1993. Gestational diabetes mellitus was diagnosed if the 2-hour plasma glucose level was 8.0 mmol/L (144 mg/dL) or greater after a 75-g glucose load in the fasting state. Treated women with GDM had a macrosomia rate of 8.0%, which was significantly less (P < .02) than the rate of 17.4% in the "normal" women. Treated women with GDM had a 2.2% rate of fetuses weighing less than 2500 g, which was significantly lower (P = .05) than the 6.9% rate for normal women. Overall, insulin therapy was used in 23.2% of the women with GDM, and no insulin-treated woman had either a macrosomic fetus or a fetus weighing less than 2500 g. Treated women with GDM, particularly those who receive insulin, have a more favorable fetal outcome than women who have a glucose result between 7.0 and 7.9 mmol/L (126 and 142 mg/dL). These results suggest that the current diagnostic criteria for GDM, with respect to fetal outc...Continue Reading

Citations

Mar 29, 2008·Metabolic Syndrome and Related Disorders·Jovanna Dahlgren
May 12, 2005·Gynecologic and Obstetric Investigation·Ben Chong Pun Chan, Terence Tzu Hsi Lao
Jun 9, 2012·Journal of Viral Hepatitis·T T LaoT Y Leung
Mar 17, 2004·Journal of Diabetes and Its Complications·Xilin YangBridget H-H Hsu-Hage
May 30, 2006·Diabetes Research and Clinical Practice·Magaly Santos-AyarzagoitiaJesús Z Villarreal-Pérez
Jan 6, 2004·Obstetrics and Gynecology·David M StamilioGeorge A Macones
Feb 13, 2021·Journal of Clinical Medicine·Fahimeh Ramezani TehraniSamira Behboudi-Gandevani

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