| Gestational diabetes and gestational impaired glucose tolerance in 1653 teenage pregnancies: prevalence, risk factors and pregnancy outcomes. | |
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MedLine Citation:
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PMID: 20709580 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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STUDY OBJECTIVE: The aim of this study was to determine the prevalence of gestational diabetes mellitus (GDM) and gestational impaired glucose tolerance (GIGT) in adolescent pregnancies, associated risk factors, and pregnancy complications. DESIGN: Retrospective study. SETTINGS: Community-based teaching hospital. PARTICIPANTS: Results of 1653 pregnant women age ≤ 19 years in 2005-2007 were reviewed. INTERVENTION: All pregnant women screened with 50-g glucose challenge test (GCT) and patients with a GCT result ≥140 mg/dl underwent a 3-hour 100-g oral glucose tolerance test (OGTT). MAIN OUTCOME MEASURES: GDM was diagnosed with at least two abnormal results and GIGT was diagnosed with one abnormal result. GDM and GIGT cases were evaluated for the presence of any associated risk factors and effects of presence of risk factors on pregnancy outcomes. RESULTS: The prevalence of GDM was 0.85% (95% CI, 0.41-1.29), GIGT was 0.5% (95% CI, 0.15-0.81) and GDM+GIGT was 1.35% (95% CI, 0.78-1.88) by Carpenter and Coustan criteria. 68% of patients had at least one of the risk factors including body mass index ≥ 25, family history of diabetes and polycystic ovary syndrome (PCOS). Only 9.1% (n = 2) of them required insulin for glucose regulation during pregnancy with 9.1% (n = 2) macrosomia rate. All patients were primiparous and cesarean delivery rate was 27.3% (n = 6). We could not find any effect of presence of risk factors on pregnancy outcomes in GDM and GIGT cases. CONCLUSION: We demonstrated that GDM and GIGT are strongly associated with high BMI before pregnancy, PCOS, and family history of diabetes. Since GDM is a state of prediabetes, it is important to diagnose in adolescent pregnancies considering their life expectancy to take preventive measures to avoid diabetes mellitus. |
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Authors:
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Deniz Karcaaltincaba; Bahar Buyukkaragoz; Omer Kandemir; Serdar Yalvac; Sadiman Kıykac-Altınbaş; Ali Haberal |
Publication Detail:
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Type: Journal Article Date: 2010-08-14 |
Journal Detail:
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Title: Journal of pediatric and adolescent gynecology Volume: 24 ISSN: 1873-4332 ISO Abbreviation: J Pediatr Adolesc Gynecol Publication Date: 2011 Apr |
Date Detail:
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Created Date: 2011-03-07 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9610774 Medline TA: J Pediatr Adolesc Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 62-5 Citation Subset: IM |
Copyright Information:
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Copyright © 2011 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Obstetrics and Gynecology, Etlik Zubeyde Hanim Women's Hospital, Gazi University, Ankara, Turkey. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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