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

页码：825 / 828

页数：4

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