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Detection and care of women with gestational diabetes mellitus from early weeks of pregnancy results in birth weight of newborn babies appropriate for gestational age.
Diabetes Res Clin Pract 2008; 80(2):199-202DR

Abstract

The policy of screening for gestational diabetes mellitus (GDM) between 24 and 28 weeks of gestation and care has resulted in a few women delivering big babies despite good glycemic control. Hence we undertook a study to assess the merits of care given to women in whom GDM was diagnosed in different weeks of gestation and to find out the ideal period of screening in women with history of high-risk pregnancies. A total of 207 consecutive pregnant women irrespective of trimester referred to our referral clinic for diabetes in pregnancy, underwent a 75g oral glucose tolerance test (OGTT) and GDM was diagnosed if 2h plasma glucose (PG) >/=140mg/dl. A1c was estimated in all of them. Women who failed to respond to medical nutrition therapy were advised insulin and the dose titrated to maintain fasting PG (FPG) <90mg/dl and 2h PG <120mg/dl. The mean age of the population screened was 28.38+/-4.31 years and the mean gestational age of screening was 20.05+/-10.71 weeks. Among them, 87 were diagnosed as GDM. The gestational week at diagnosis was </=12 in 36 (41.4%) women (group 1), between 13 and 23 in 18 (20.7%) (group 2), between 24 and 30 in 15 (17.2%) (group 3) and beyond 30 weeks of gestation in 18 (20.7%) (group 4). The A1c was 5.34+/-0.43% in normal glucose tolerance (NGT) women, while it was 6.93+/-1.62% in group 1, 6.03 +/-0.79% in group 2, 6.14+/-0.93% in group 3 and 6.20+/-0.31% in group 4, respectively. The birth weight of babies born to women with NGT was 3.28+/-0.50kg. The birth weight of babies born to GDM women in group 1, group 2, group 3 and group 4 was 3.15+/-0.48, 3.09+/-0.68, 3.32+/-0.51 and 3.51+/-0.63kg, respectively. Group 1 women in spite of the history of high-risk pregnancies, delivered babies appropriate for gestational age like NGT women. Screening in the first trimester of pregnancy and institution of therapy is advisable in women with high-risk pregnancies.

Authors+Show Affiliations

Dr. V. Seshiah Diabetes Care and Research Institute, 31A, Ormes Road, Kilpauk, Chennai 600010, Tamilnadu, India.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18249458

Citation

Seshiah, V, et al. "Detection and Care of Women With Gestational Diabetes Mellitus From Early Weeks of Pregnancy Results in Birth Weight of Newborn Babies Appropriate for Gestational Age." Diabetes Research and Clinical Practice, vol. 80, no. 2, 2008, pp. 199-202.
Seshiah V, Cynthia A, Balaji V, et al. Detection and care of women with gestational diabetes mellitus from early weeks of pregnancy results in birth weight of newborn babies appropriate for gestational age. Diabetes Res Clin Pract. 2008;80(2):199-202.
Seshiah, V., Cynthia, A., Balaji, V., Balaji, M. S., Ashalata, S., Sheela, R., ... Arthi, T. (2008). Detection and care of women with gestational diabetes mellitus from early weeks of pregnancy results in birth weight of newborn babies appropriate for gestational age. Diabetes Research and Clinical Practice, 80(2), pp. 199-202. doi:10.1016/j.diabres.2007.12.008.
Seshiah V, et al. Detection and Care of Women With Gestational Diabetes Mellitus From Early Weeks of Pregnancy Results in Birth Weight of Newborn Babies Appropriate for Gestational Age. Diabetes Res Clin Pract. 2008;80(2):199-202. PubMed PMID: 18249458.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Detection and care of women with gestational diabetes mellitus from early weeks of pregnancy results in birth weight of newborn babies appropriate for gestational age. AU - Seshiah,V, AU - Cynthia,Alexander, AU - Balaji,V, AU - Balaji,Madhuri S, AU - Ashalata,S, AU - Sheela,Rajan, AU - Thamizharasi,M, AU - Arthi,T, Y1 - 2008/02/04/ PY - 2007/10/13/received PY - 2007/12/08/accepted PY - 2008/2/6/pubmed PY - 2008/8/7/medline PY - 2008/2/6/entrez SP - 199 EP - 202 JF - Diabetes research and clinical practice JO - Diabetes Res. Clin. Pract. VL - 80 IS - 2 N2 - The policy of screening for gestational diabetes mellitus (GDM) between 24 and 28 weeks of gestation and care has resulted in a few women delivering big babies despite good glycemic control. Hence we undertook a study to assess the merits of care given to women in whom GDM was diagnosed in different weeks of gestation and to find out the ideal period of screening in women with history of high-risk pregnancies. A total of 207 consecutive pregnant women irrespective of trimester referred to our referral clinic for diabetes in pregnancy, underwent a 75g oral glucose tolerance test (OGTT) and GDM was diagnosed if 2h plasma glucose (PG) >/=140mg/dl. A1c was estimated in all of them. Women who failed to respond to medical nutrition therapy were advised insulin and the dose titrated to maintain fasting PG (FPG) <90mg/dl and 2h PG <120mg/dl. The mean age of the population screened was 28.38+/-4.31 years and the mean gestational age of screening was 20.05+/-10.71 weeks. Among them, 87 were diagnosed as GDM. The gestational week at diagnosis was </=12 in 36 (41.4%) women (group 1), between 13 and 23 in 18 (20.7%) (group 2), between 24 and 30 in 15 (17.2%) (group 3) and beyond 30 weeks of gestation in 18 (20.7%) (group 4). The A1c was 5.34+/-0.43% in normal glucose tolerance (NGT) women, while it was 6.93+/-1.62% in group 1, 6.03 +/-0.79% in group 2, 6.14+/-0.93% in group 3 and 6.20+/-0.31% in group 4, respectively. The birth weight of babies born to women with NGT was 3.28+/-0.50kg. The birth weight of babies born to GDM women in group 1, group 2, group 3 and group 4 was 3.15+/-0.48, 3.09+/-0.68, 3.32+/-0.51 and 3.51+/-0.63kg, respectively. Group 1 women in spite of the history of high-risk pregnancies, delivered babies appropriate for gestational age like NGT women. Screening in the first trimester of pregnancy and institution of therapy is advisable in women with high-risk pregnancies. SN - 1872-8227 UR - https://www.unboundmedicine.com/medline/citation/18249458/Detection_and_care_of_women_with_gestational_diabetes_mellitus_from_early_weeks_of_pregnancy_results_in_birth_weight_of_newborn_babies_appropriate_for_gestational_age_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0168-8227(07)00624-9 DB - PRIME DP - Unbound Medicine ER -