Postload glucose in gestational diabetes
DOI:
https://doi.org/10.51481/amc.v49i1.292Keywords:
Gestational diabetes, challenge screening test, cut-off valueAbstract
Objective: To determine the most sensitive and positive predictive cut-off value for the oral glucose challenge screening test for the diagnosis of gestational Diabetes Mellitus in women with pregnacies between the 24-28 weeks.
Methods: Observational study. From the files of the hospital's laboratory service, every pregnant woman who had an oral glucose tolerance (100g of glucose) test; this test was had been indicated because values of more or equal to 130mg/dl during of oral glucose challenge screening test (50g of glucose). The glucose levels were quantified by the SYNCHRON CX system. The National Diabetes Data Group criteria were used. Logistic regression model was utilized, and ROC (Receiver Operating Characteristic) curve analysis was done to determine the sensitivity and specificity. The STATA statistical program, version 7, 2000 was used.
Downloads
References
Metzger BE, the organizing committee: summary and recommendations of the third international workshop-conference on gestational Diabetes Mellitus. Diabetes 1991; 40 (Suppl. 2):197-201.
Expert Committee on the Diagnosis and Classifi cation of Diabetes Mellitus: Report of the expert committee on the diagnosis and classification of Diabetes Mellitus. Diabetes Care 1997; 20: 11831197.
O`Sullivan JB: Diabetes Mellitus after GDM. Diabetes 1991; 29 (Suppl 2):131-135.
Peters RK, Kjos SL, Xiang A, Buchanan TA. Long term diabetogenic effect of single pregnancy women with previous gestational diabetes mellitus. Lancet 1996; 347:227-30.
Landon M, Catalano P, Gabbe S. Diabetes mellitus. In: Gabbe S, Niebyl J, Simpson J, editors. Obstetrics normal and problem pregnancies. Philadelphia: Churchill Livingstone, 2002: 1081-116.
Moore T. Diabetes in pregnancy. In: Creasy R, Resnik R, editors. Maternal-Fetal medicine. Philadelphia: Saunders, 2004: 1023-061.
Naylor D, Sermer M, Chen E, Farine D. Selective screening for gestational diabetes mellitus. N Engl J Med 1997; 337:1591-6.
Cousins L: pregnancy complications among diabetic women: review 1965-1985. Obstet Gynecol Surv 1987; 42: 140-49.
Lemen PM, Wigton TR, Miller-McCarthey AJ, Cruikshank DP. Screening for gestational diabetes mellitus in adolescent pregnancies. Am J Obstet Gynecol 1998; 178: 1251-56.
Carpenter MW. Rationale and performance of test for gestational diabetes. Clin Obstet Gynecol 1991; 34: 544-57.
Coustan DR, Nelson C, Carpenter MW, Carr SR, Rotondo L, Widness JA. Maternal age and screening for gestational diabetes: a populationbased study. Obstet Gynecol 1989; 73: 557-61.
Coustan DR. Methods of screening for and diagnosing of gestational diabetes. Clin Perinatol 1993; 20: 593-602.
Coustan DR. Screening and diagnosis of gestational diabetes. Semin Perinatol 1994; 18: 407-13.
Bonomo M, Gandini ML, Mastropasqua A, Begher C, Valentini U, Faden D, et al. Which cutoff level should be used in screening for glucose intolerance in pregnancy? Am J Obstet Gynecol 1998; 179: 179-85.
National Diabetes Data Group: Classifi cation and diagnosis of diabetes mellitus and other categories of glucose intolerance. Diabetes 1979; 28: 1039-57.
Downloads
Published
Issue
Section
License
Copyright (c) 2008 Acta Médica Costarricense
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Los autores que publican en la revista Acta Médica Costarricense pueden distribuir, copiar, remezclar, retocar, leer, descargar, imprimir, buscar y crear a partir de su obra de modo no comercial, indicando los créditos a la revista y sus autores y compartir su obra en las mismas condiciones. Para ello se aplica la licencia Creative Commons Reconocimiento-NoComercial-CompartirIgual 4.0 Internacional(CC BY-NC-SA 4.0)
