在南卡罗来纳州诊断出妊娠糖尿病的患病率增加:2015-2021年
Kelly J Hunt1,2, Chun-Che Wen1, Brian Neelon1,2
1Department of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina, USA.
Journal of women's health (2002)
|September 4, 2024
概括
孕期糖尿病 (GDM) 诊断在南卡罗来纳州所有种族和种族群体的COVID-19大流行期间增加. 这些趋势凸显了对GDM原因和干预措施的进一步研究的需要.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 孕期糖尿病 (GDM) 影响母亲和婴儿的健康.
- 了解GDM趋势和差异对于有针对性的干预至关重要.
- COVID-19 流行病可能影响了 GDM 诊断率.
研究的目的:
- 检查妊娠糖尿病 (GDM) 诊断和相关结果的趋势.
- 在南卡罗来纳州的COVID-19大流行之前和期间调查GDM的种族和种族差异.
- 分析2015年至2021年GDM患病率的变化.
主要方法:
- 在南卡罗来纳州 (2015-2021) 的怀孕导致活产的回顾性队列研究.
- 将全州的产妇出院数据与出生证明数据联系起来.
- 使用ICD-9-CM/ICD-10-CM代码或出生证明说明定义的GDM.
主要成果:
- 患GDM的相对风险在流行病前每年增加1.01,在流行病期间每年增加1.12.
- 在COVID-19大流行期间,所有种族和种族群体的GDM患病率都增加了.
- 从2020年第一季度到2021年第四季度,GDM患病率从8.92%上升至10.85% (白人),8.04%上升至9.78% (黑人),11.2%上升至13.65% (西班牙裔),13.3%上升至16.16% (其他).
结论:
- 在COVID-19大流行期间,诊断出GDM的患病率越来越高.
- 在所有种族-种族群体中都注意到越来越多的GDM趋势.
- 需要进一步的研究来理解GDM趋势机制,并开发干预措施.
相关概念视频
Diabetes Mellitus: Type 2 and Gestational
2.3K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.3K
Pathophysiology of Diabetes
908
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
908
Diabetes: Symptoms, Diagnosis, and Complications
520
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
520
Diabetes Mellitus: Overview and Type I Subtype
2.5K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
2.5K
Carbohydrate Metabolism
10.9K
Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
10.9K
Overview of Carbohydrate Metabolism
809
Carbohydrate metabolism is a fundamental biochemical process that ensures a constant supply of energy to living cells. The most important carbohydrate is glucose, which can be broken down via glycolysis to enter into the Krebs cycle and eventually lead to the production of ATP through oxidative phosphorylation.
Glucose transport into cells is facilitated by a family of transport proteins called GLUT (Glucose Transporters). GLUT4 is the primary glucose transporter for insulin-stimulated glucose...
Glucose transport into cells is facilitated by a family of transport proteins called GLUT (Glucose Transporters). GLUT4 is the primary glucose transporter for insulin-stimulated glucose...
809


