Analysis of Prevalence of Gestational Diabetes Mellitus in Pregnant Females in a Tertiary Care Hospital
DOI:
https://doi.org/10.21276/ew39mb18Keywords:
Gestational Diabetes Mellitus, Pregnant Females, Glucose Tolerance Test.Abstract
Background: The prevalence of diabetes mellitus (DM) is increasing worldwide and more in developing countries including India. The increasing prevalence in developing countries is related to increasing urbanization, decreasing levels of physical activity, changes in dietary patterns and increasing prevalence of obesity. The present study was conducted to assess prevalence of gestational diabetes mellitus in pregnant females in a tertiary care hospital.
Materials and Methods: The present study was conducted to assess prevalence of gestational diabetes mellitus in pregnant females in Department of Obstetrics and Gynaecology, Amaltas Institute of Medical Sciences, Dewas, Madhya Pradesh, India. Detailed history, physical examination and routine investigations were carried out. The screening was done by GTT in the patients with risk factors for GDM using 50gms of oral glucose. Gestational diabetes was diagnosed if two or more of following venous plasma values were met or exceeded. The recorded data was compiled, and data analysis was done using SPSS Version 20.0 (SPSS Inc., Chicago, Illinois, USA). P-value less than 0.05 was considered statistically significant.
Results: In the present study a total of 540 randomly selected pregnant females who met the inclusion criteria were subjected to oral glucose challenge test. 20.37% women were found to have GDM and 79.62% women were Non-GDM. According to age group maximum prevalence of GDM was in the age group >30 yrs (49.09%).
Conclusion: The present study conclude that 20.37% women were found to have GDM and maximum prevalence of GDM was in the age group >30 yrs. This may be due to GDM shows a positive association with increasing maternal age.
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American Diabetes Association, Gestational Diabetes Mellitus (Position Statement) Diabetes Care. 2004;27(Suppl 2):S88–90.
Schmidt MI, Ducan BB, Reichelt AJ, Branchtein L, Matos MC, Costa e Forti A, et al. For the Brazilian Gestational Diabetes Study Group. Gestational diabetes mellitus diagnosed with a 2-h 75 gm oral glucose tolerance test and adverse pregnancy outcomes. Diabetes Care. 2001;24:1151–5.
Seshiah V, Balaji V, Balaji MS, Paneerselvam A, Arthi T, Thamizharasi M, et al. Prevalence of gestational diabetes mellitus in South India (Tamil Nadu) - a community-based study. J Assoc Physicians India. 2008;56:329–33.
Ghio A, Seghieri G, Lencioni C, Anichini R, Bertolotto A, De Bellis A, et al. 1- hour OGTT plasma glucose as a marker of progressive deterioration of insulin secretion and action in pregnant women. International Journal of Endocrinology. 2012;Article ID 460509:5 pages.
Kayal A, Anjana RM, Mohan V. Gestational diabetes –An update from India, 2013. Diabetes Voice 58, 2013.Available from: http://www.idf.org/ gestational diabetes. (Last accessed on 2015 Aug 15).
Yue DK, Molyneaux LM, Ross GP, Constantino MI, Child AG, Turtle JR. Why does ethnicity affect prevalence of gestational diabetes mellitus? The underwater volcano theory. Diabet Med. 1996; 13: 748-52.
Verma AK, Singh B, Mengi V. Gestational diabetes in rural women of Jammu. Indian J Comm Med. 2008; 33: 54-5.
Seshiah V, Balaji V, Balaji MS et al. Gestational diabetes mellitus in India. J Assoc Physicians India. 2004; 52: 707-11.
Seshiah V, Balaji V, Balaji MS et al. Prevalence of Gestational Diabetes Mellitus in South India (Tamil nadu)-a community-based study. J Assoc Physicians India. 2008; 56: 329-33.
Zargar AH, Sheikh MI, Bashir MI, Masoodi SR, Laway BA, Wani A I, Dar FA et al. Prevalence of gestational diabetes mellitus in Kashmiri women from the Indian subcontinent. Diabetes Res Clin Pract. 2004; 66(2): 139-145.
Spellacy WN, Miller S, Winegar A, Peterson PQ. Macrosomia-Maternal characteristics and infant complications. Obstet Gynecol 1985;66:158-61.
American Diabetes Association. Gestational diabetes mellitus. Diabetes Care 2002; 25: (Suppl. 1): S94-S96.
Hanna FW, Peter SJR. Screening of gestational diabetes: Past, present and future. Diabet Med. 2002;19:351-8.
American Diabetes Association. Gestational diabetes mellitus. Diabetic care. 2003;27:88-90.
Seshiah V, Balaji V, Madhuri S Balaji, Aruna Sekar, Sanjeevi CB, Anders Green One step procedure for screening and diagnosis of gestational diabetes mellitus. J Obstet Gynecol Ind. 2005;55:525-29
Agarwal S, Gupta AN. Gestational Diabetes. J Assoc Physicians India 1982; 30 : 203-5.
Narendra J, Munichoodappa C, Gurudas A, Ramprasad AV, Madhav T, Vijayalakshmi, et al. Prevalence of glucose intolerance during pregnancy. Int J Diab Dev Countries. 1991;11:2–4.
Abha Jindal, Feroz Ahmad, Beena Bharduaj, Beena Chaturvedi. Prevalence, clinical profile and outcome of GDM. J Obst Gynec 2001; Vol. 51, No. 4: 46-49.
Naylor CD, Phil D, Sermer M, Chen E, Farine D. Selective screening for gestational diabetes mellitus. N Engl J Med 1997; 337: 1591-96.
Dornhorst A, Rossi M. Risk and prevention of type 2 diabetes mellitus in women with gestational diabetes. Diabetes Care 1998; 21 (Suppl. 2): B43-B49.
Schmidt MI, Matos MC, Reichetiti AJ, Forti AC, deLima L, Duncan BB. Prevalence of gestational diabetes mellitus – do the new WHO criteria make a difference? Diabet Med 2000; 17: 376-380
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