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[Experience with a screening program for gestational diabetes]

H E Tamez Pérez1, M Rodríguez Ayala, M Treviño Hernández

  • 1División de medicina interna y clínica de diabetes, Clínica Nova de Monterrey, N.L.

Revista De Investigacion Clinica; Organo Del Hospital De Enfermedades De La Nutricion
|September 1, 1993
PubMed
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Gestational diabetes (GD) affects 6% of pregnant women in northeastern Mexico, a higher prevalence than previously reported. This condition is linked to increased rates of cesarean births and macrosomy, necessitating early intervention.

Area of Science:

  • Obstetrics and Gynecology
  • Endocrinology
  • Public Health

Background:

  • Gestational diabetes (GD) is a significant concern during pregnancy.
  • Understanding GD prevalence is crucial for maternal and infant health outcomes.
  • Limited data exists on GD prevalence in specific regions like northeastern Mexico.

Purpose of the Study:

  • To determine the prevalence of gestational diabetes (GD) in an outpatient clinic in northeastern Mexico.
  • To compare GD prevalence with existing national data.
  • To identify potential complications associated with GD.

Main Methods:

  • A cohort of 732 pregnant women undergoing prenatal care was studied over two years.
  • A 100g oral glucose tolerance test (OGTT) was administered with blood sampling at 1, 2, and 3 hours.

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  • Women were classified using American Diabetes Association criteria: normal, abnormal, or a single abnormal value.

    • Main Results:

    • The prevalence of GD was 6% (44/732), with an additional 1.4% (10/732) showing a single abnormal OGTT value.
    • Women with GD had significantly higher rates of cesarean births (43% vs. 30%) and macrosomy (25% vs. 7%) compared to women with normal OGTT.
    • The group with one abnormal value showed elevated rates of cesarean births (50%) and macrosomy (10%), though not statistically significant.

    Conclusions:

    • The prevalence of GD in this northeastern Mexico cohort (6%) is higher than the reported national average (3.9%).
    • The increased incidence of cesarean births and macrosomy in women with GD highlights the need for timely therapeutic interventions.
    • Further research is warranted to explore the implications of single abnormal glucose tolerance test values.