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What is the best cut-off point for screening gestational diabetes in Turkish women?
- Source :
-
Turkish Journal of Medical Sciences . Jun2012, Vol. 42 Issue 3, p523-531. 9p. - Publication Year :
- 2012
-
Abstract
- Aim: To find an optimal threshold level with higher sensitivity and specificity for screening of gestational diabetes mellitus (GDM) in Turkish pregnant women. Materials and methods: This was a retrospective study. Screening for GDM was performed in all pregnant women between 24 and 28 weeks of gestation using the 1 h 50 g glucose challenge test (GCT) with a subsequent 3 h 100 g oral glucose tolerance test (OGTT) for confirmation if screened positive. The glucose values obtained were analyzed by both the Carpenter and Coustan (C&C criteria) and National Diabetes Data Group (NDDG) criteria. Results: There were 808 women meeting the study inclusion criteria. There were 66 (8.1%) women diagnosed with GDM using the C&C criteria and 45 (5.7%) using the NDDG criteria. The best cut-off point for GCT was 132 mg/dL for detecting GDM. No diabetes was found below the glucose level of 130 mg/dL. Conclusion: GCT is suitable for screening of Turkish women, but place of residence as well as race must be taken into consideration to establish the best cut-off level of GCT, since ethnic and environmental factors may contribute to the occurrence of GDM. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 13000144
- Volume :
- 42
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Turkish Journal of Medical Sciences
- Publication Type :
- Academic Journal
- Accession number :
- 78401553
- Full Text :
- https://doi.org/10.3906/sag-1102-1368