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Evaluation of the gestational diabetes mellitus diagnostic criteria recommended by the international association of diabetes and pregnancy study group for long-term maternal postpartum outcomes in mainland China
- Source :
- Medicine
- Publication Year :
- 2020
- Publisher :
- Wolters Kluwer Health, 2020.
-
Abstract
- The gestational diabetes mellitus (GDM) diagnostic criteria recommended by the International Association of Diabetes and Pregnancy Study Group (IADPSG) were established based on the Hyperglycemia and Adverse Pregnancy Outcome (HAPO) study and have been the most commonly used criteria for determining GDM worldwide. Although individuals from mainland China were not included in the HAPO study, the IADPSG criteria have been used in China since 2011. However, the appropriateness of the criteria for evaluating maternal postpartum outcomes in mainland China are unknown. We conducted this study to determine whether the IADPSG criteria are appropriate for Chinese patients for evaluating long-term maternal postpartum outcomes. Eighty-four patients who were diagnosed with hyperglycemia during pregnancy and had delivery in Peking University First Hospital from February 2007 to December 2009 were enrolled in the study. For patients in Group A, GDM was diagnosed using both the National Diabetes Data Group (NDDG) and the IADPSG criteria, while patients in Group B, gestational impaired glucose tolerance (GIGT) was diagnosed using the NDDG criteria while GDM was diagnosed based on the IADPSG criteria. Anthropometric data, glucose metabolism, lipid profiles, β cell function, and insulin resistance index were evaluated and compared to baseline after 5- to 6-year postpartum period. Patients in group A had significantly higher oral glucose tolerance test (OGTT) fasting, 2-hour and 3-hour plasma glucose levels compared to patients in group B at 24 to 28 weeks of gestation (P
- Subjects :
- Adult
medicine.medical_specialty
China
endocrine system diseases
long-term postpartum outcomes
Observational Study
Impaired glucose tolerance
03 medical and health sciences
0302 clinical medicine
Insulin resistance
Pregnancy
Diabetes mellitus
Insulin-Secreting Cells
medicine
Humans
Body Weights and Measures
030212 general & internal medicine
IADPSG diagnostic criteria
Glucose tolerance test
medicine.diagnostic_test
Obstetrics
business.industry
Postpartum Period
nutritional and metabolic diseases
Type 2 Diabetes Mellitus
General Medicine
Glucose Tolerance Test
medicine.disease
Lipids
gestational diabetes mellitus
Gestational diabetes
Diabetes, Gestational
Glucose
030220 oncology & carcinogenesis
Gestation
Female
Insulin Resistance
business
Research Article
Subjects
Details
- Language :
- English
- ISSN :
- 15365964 and 00257974
- Volume :
- 99
- Issue :
- 8
- Database :
- OpenAIRE
- Journal :
- Medicine
- Accession number :
- edsair.doi.dedup.....8da17893cbf64bea674d4e6b0b24c29c