Two criteria of oral glucose tolerance test to diagnose gestational diabetes mellitus
SUMMARY OBJECTIVE To evaluate two different criteria, one or two cut-off values, of oral glucose tolerance test with 75g of glucose for the diagnosis of gestational diabetes mellitus. METHODS A cross-sectional study involving 120 records of pregnant women who received prenatal care at the service of a Brazilian university was carried out. Bivariate analysis of obstetric and perinatal outcomes was performed using the chi-square test. RESULTS Considering criterion I, 12.5% of patients were diagnosed with gestational diabetes mellitus. Patients were 3.57 times more likely to have a large fetus for the gestational age at birth (p=0.038). Using criterion II, gestational diabetes mellitus was diagnosed in 5.8% of patients, macrosomia was 7.73 times more likely to be found in the presence of gestational diabetes mellitus (p=0.004), and a large fetus for the gestational age at birth was 8.17 times more likely (p=0.004). CONCLUSIONS There was a difference in the prevalence of gestational diabetes mellitus between the two criteria analyzed. The new criterion proposed increased prevalence.
Main Authors: | , , , , |
---|---|
Format: | Digital revista |
Language: | English |
Published: |
Associação Médica Brasileira
2020
|
Online Access: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302020000200139 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
id |
oai:scielo:S0104-42302020000200139 |
---|---|
record_format |
ojs |
spelling |
oai:scielo:S0104-423020200002001392020-05-11Two criteria of oral glucose tolerance test to diagnose gestational diabetes mellitusNunes,Rodrigo DiasFlôres,Mayara EloisaSeemann,MayaraTraebert,ElianeTraebert,Jefferson Diabetes, gestational Diagnostic techniques and procedures Glucose tolerance test Perinatal care SUMMARY OBJECTIVE To evaluate two different criteria, one or two cut-off values, of oral glucose tolerance test with 75g of glucose for the diagnosis of gestational diabetes mellitus. METHODS A cross-sectional study involving 120 records of pregnant women who received prenatal care at the service of a Brazilian university was carried out. Bivariate analysis of obstetric and perinatal outcomes was performed using the chi-square test. RESULTS Considering criterion I, 12.5% of patients were diagnosed with gestational diabetes mellitus. Patients were 3.57 times more likely to have a large fetus for the gestational age at birth (p=0.038). Using criterion II, gestational diabetes mellitus was diagnosed in 5.8% of patients, macrosomia was 7.73 times more likely to be found in the presence of gestational diabetes mellitus (p=0.004), and a large fetus for the gestational age at birth was 8.17 times more likely (p=0.004). CONCLUSIONS There was a difference in the prevalence of gestational diabetes mellitus between the two criteria analyzed. The new criterion proposed increased prevalence.info:eu-repo/semantics/openAccessAssociação Médica BrasileiraRevista da Associação Médica Brasileira v.66 n.2 20202020-02-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302020000200139en10.1590/1806-9282.66.2.139 |
institution |
SCIELO |
collection |
OJS |
country |
Brasil |
countrycode |
BR |
component |
Revista |
access |
En linea |
databasecode |
rev-scielo-br |
tag |
revista |
region |
America del Sur |
libraryname |
SciELO |
language |
English |
format |
Digital |
author |
Nunes,Rodrigo Dias Flôres,Mayara Eloisa Seemann,Mayara Traebert,Eliane Traebert,Jefferson |
spellingShingle |
Nunes,Rodrigo Dias Flôres,Mayara Eloisa Seemann,Mayara Traebert,Eliane Traebert,Jefferson Two criteria of oral glucose tolerance test to diagnose gestational diabetes mellitus |
author_facet |
Nunes,Rodrigo Dias Flôres,Mayara Eloisa Seemann,Mayara Traebert,Eliane Traebert,Jefferson |
author_sort |
Nunes,Rodrigo Dias |
title |
Two criteria of oral glucose tolerance test to diagnose gestational diabetes mellitus |
title_short |
Two criteria of oral glucose tolerance test to diagnose gestational diabetes mellitus |
title_full |
Two criteria of oral glucose tolerance test to diagnose gestational diabetes mellitus |
title_fullStr |
Two criteria of oral glucose tolerance test to diagnose gestational diabetes mellitus |
title_full_unstemmed |
Two criteria of oral glucose tolerance test to diagnose gestational diabetes mellitus |
title_sort |
two criteria of oral glucose tolerance test to diagnose gestational diabetes mellitus |
description |
SUMMARY OBJECTIVE To evaluate two different criteria, one or two cut-off values, of oral glucose tolerance test with 75g of glucose for the diagnosis of gestational diabetes mellitus. METHODS A cross-sectional study involving 120 records of pregnant women who received prenatal care at the service of a Brazilian university was carried out. Bivariate analysis of obstetric and perinatal outcomes was performed using the chi-square test. RESULTS Considering criterion I, 12.5% of patients were diagnosed with gestational diabetes mellitus. Patients were 3.57 times more likely to have a large fetus for the gestational age at birth (p=0.038). Using criterion II, gestational diabetes mellitus was diagnosed in 5.8% of patients, macrosomia was 7.73 times more likely to be found in the presence of gestational diabetes mellitus (p=0.004), and a large fetus for the gestational age at birth was 8.17 times more likely (p=0.004). CONCLUSIONS There was a difference in the prevalence of gestational diabetes mellitus between the two criteria analyzed. The new criterion proposed increased prevalence. |
publisher |
Associação Médica Brasileira |
publishDate |
2020 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302020000200139 |
work_keys_str_mv |
AT nunesrodrigodias twocriteriaoforalglucosetolerancetesttodiagnosegestationaldiabetesmellitus AT floresmayaraeloisa twocriteriaoforalglucosetolerancetesttodiagnosegestationaldiabetesmellitus AT seemannmayara twocriteriaoforalglucosetolerancetesttodiagnosegestationaldiabetesmellitus AT traeberteliane twocriteriaoforalglucosetolerancetesttodiagnosegestationaldiabetesmellitus AT traebertjefferson twocriteriaoforalglucosetolerancetesttodiagnosegestationaldiabetesmellitus |
_version_ |
1756410049777893376 |