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Jelly beans as an alternative to a fifty-gram glucose beverage for gestational diabetes screening.
- Source :
-
American journal of obstetrics and gynecology [Am J Obstet Gynecol] 1999 Nov; Vol. 181 (5 Pt 1), pp. 1154-7. - Publication Year :
- 1999
-
Abstract
- Objective: This study tested the hypothesis that a standardized dose of jelly beans could be used as an alternative sugar source to the 50-g glucose beverage to screen for gestational diabetes mellitus.<br />Study Design: One hundred sixty pregnant women at 24 to 28 weeks' gestation were recruited for a prospective study to compare 2 sugar sources for serum glucose response, side effects, preference, and ability to detect gestational diabetes mellitus. Patients were randomly assigned to consume 50-g glucose beverage or 28 jelly beans (50 g simple carbohydrate). Serum glucose values were determined 1 hour later. The test was later repeated with the other sugar source. Finally, a 100-g 3-hour oral glucose tolerance test was performed. Participants completed a questionnaire recording subjective outcome variables. American Diabetes Association criteria were used to interpret all test results.<br />Results: Among 136 participants completing the study no significant differences were found between 1-hour serum glucose values (116.5 +/- 27 mg/dL with 50-g glucose beverage, 116.9 +/- 23.6 mg/dL with jelly beans; P =.84), frequency of discrepant results (P =.47), sensitivity, specificity, or predictive value. Jelly beans yielded fewer side effects (38% with 50-g glucose beverage, 20% with jelly beans; P <.001) and were preferred by 76% of participants (P <.001). Five cases (3.7% incidence) of gestational diabetes mellitus were diagnosed, 3 with 50-g glucose beverage alone, 1 with jelly beans alone, and 1 with both sugar sources.<br />Conclusions: Jelly beans may be used as an alternative to the 50-g glucose beverage as a sugar source for gestational diabetes mellitus screening. The 2 sources provoke similar serum glucose responses. Patients report fewer side effects after a jelly bean challenge than after a 50-g glucose beverage challenge.
- Subjects :
- Adolescent
Adult
Blood Glucose analysis
Diabetes, Gestational blood
Diabetes, Gestational ethnology
Female
Glucose adverse effects
Humans
Incidence
Parity
Pregnancy
Prospective Studies
Surveys and Questionnaires
Time Factors
Beverages adverse effects
Candy adverse effects
Diabetes, Gestational diagnosis
Glucose administration & dosage
Glucose Tolerance Test methods
Subjects
Details
- Language :
- English
- ISSN :
- 0002-9378
- Volume :
- 181
- Issue :
- 5 Pt 1
- Database :
- MEDLINE
- Journal :
- American journal of obstetrics and gynecology
- Publication Type :
- Academic Journal
- Accession number :
- 10561636
- Full Text :
- https://doi.org/10.1016/s0002-9378(99)70099-2