The importance of fasting blood glucose in screening for gestational diabetes

被引：5
|
作者：
Herrera, Kimberly [1 ]
Brustman, Lois [1 ]
Foroutan, Janelle [1 ]
Scarpelli, Sophia [1 ]
Murphy, Elizabeth [1 ]
Francis, Antonia [1 ]
Rosenn, Barak [1 ]
机构：
[1] Columbia Univ, St Lukes Roosevelt Hosp Ctr, Dept Obstet & Gynecol, New York, NY 10019 USA
来源：
JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE | 2015年 / 28卷 / 7-8期
关键词：
2-hour glucose tolerance test; 1-step method; 2-step method; PLASMA-GLUCOSE; CRITERIA;
D O I：
10.3109/14767058.2014.935322
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
Objective: To determine how well an isolated abnormal fasting blood glucose (FBG) value on the 1-step, 75-g, 2-hour glucose tolerance test (GTT) indicates significant gestational diabetes (GDM). Methods: Retrospective cohort study, January 2011 to May 2012. Patients diagnosed by the 1-step method were assigned by their abnormal results to the isolated fasting (FBG), isolated 1-hour (1HBG), isolated 2-hour (2HBG), or multiple-value (>= 2BG) group. Characteristics and outcomes were compared using ANOVA, Kruskal-Wallis, and Chi-squared tests. Results: 324 patients were included. Compared to other groups, the FBG group (N=23) had the highest incidence of requiring medical therapy (78.26%), mean body mass index (29.40 +/- 6.20 kg/m(2)), and percentage of Black plus Hispanic women (60.87%). Conclusions: Seven percent of women were diagnosed with GDM by an isolated abnormal fasting BG and have significant disease. This group should not be missed; therefore, fasting BG should be integrated into all GDM screening.
引用
收藏
页码：825 / 828
页数：4
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