Studies of postnatal diabetes mellitus in women who had gestational diabetes. Part 1. Estimation of the prevalence of unrecognized prepregnancy diabetes mellitus

The Australian & New Zealand Journal of Obstetrics & Gynaecology
N A BeischerR Dargaville

Abstract

This study investigated the prevalence of undiagnosed diabetes in women in the reproductive age group in a Victorian population by analysis of the results of glucose tolerance testing in 57,563 pregnancies. Gestational diabetes (GD) was diagnosed in 4,243 pregnancies and in 2,957 (69.7%) of these, postnatal glucose tolerance testing was performed. Diabetes mellitus was diagnosed within 26 weeks of delivery in 59 women, 55 of whom were diagnosed by the postnatal glucose tolerance test (GTT). There were 4 women with GD who developed diabetic ketosis during pregnancy (3) or within 12 weeks of delivery (1). By consideration of the results of the antenatal and postnatal GTTs, it was deduced that 53% (31 of 59) of the women with diabetes diagnosed after delivery may have had unrecognized prepregnancy diabetes. Consideration of the entire glucose-tolerance tested population led to the conclusion that approximately 1 in 1,031 women in the reproductive age group in our community have unrecognized prepregnancy diabetes mellitus.

References

Jun 1, 1991·Baillière's Clinical Obstetrics and Gynaecology·O A Henry, N A Beischer
Jan 16, 1989·The Medical Journal of Australia·T A WelbornS Bennett
Jan 31, 1987·British Medical Journal·K BuschardC Kühl
Nov 11, 1985·The Medical Journal of Australia·C GlatthaarP Garcia-Webb
Jan 1, 1993·American Journal of Perinatology·M N MontoroS H Golde
Aug 1, 1995·The Australian & New Zealand Journal of Obstetrics & Gynaecology·G T KoC S Cockram
Aug 1, 1996·The Australian & New Zealand Journal of Obstetrics & Gynaecology·N A BeischerB Steffen
Apr 7, 1997·The Medical Journal of Australia·N A BeischerM T Sheedy

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Citations

Apr 29, 1999·Current Opinion in Obstetrics & Gynecology·M KhandelwalE A Reece

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