Title: A Study To Calculate the Prevalence of Gestational Diabetes Mellitus Using 75 gm of Oral Glucose Challenge Test in a Tertiary Care Centre
Authors: Urmila Tripathi, Pratibha Garg
DOI: https://dx.doi.org/10.18535/jmscr/v6i7.65
Abstract
Background: Gestational diabetes mellitus is a common cause of maternal and fetal morbidity and mortality worldwide. The quoted prevalence of GDM ranged from 1 to 14%. Hyperglycemia during pregnancy is found to be associated with various maternal and perinatal adverse outcomes. Screening of all pregnant females to be done so that timely intervention could potentially avoid the fetus being affected by maternal hyperglycemia.
Method: 500 women were subjected to 75 gm glucose challenge test irrespective of their last meal and duration of pregnancy and venous blood was drawn after 2 hours. The plasma glucose was estimated by glucose oxidation and peroxidation (GOD-POD) method by using Bayer's kit.
Results: Among 500 pregnant women, 55(11%) were diagnosed as GDM by WHO criteria. The result shows the prevalence increases with advance maternal age and increased gravidity. There is a strong association of GDM with raised BMI and family history of diabetes. However, amongst gestational age groups highest prevalence was noticed among those between 21-24 weeks of gestation.
Conclusion: A short term intensive care gives a long pay off in the primary prevention of obesity, IGT and diabetes an offspring as preventive medicine start before birth.
Keywords: Gestational dibetes mellitus , Glucose challenge test, Diabetes.
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