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PROSPECTIVE STUDY ON THE PREVALENCE OF PERSISTENT GESTATIONAL DIABETES AND ITS RISK FACTORS.
- Source :
- East African Medical Journal; 2022, Vol. 99 Issue 9, p5195-5202, 8p
- Publication Year :
- 2022
-
Abstract
- Background: The prevalence of gestational diabetes mellitus (GDM) is clearly increasing. Postpartum carbohydrate tolerance is normalized in most cases, but the subsequent risk of developing type 2 diabetes is important. Aim: to determine the prevalence of persistent gestational diabetes and its risk factors Subjects: it was a prospective longitudinal study conducted at the National Institute of Nutrition of Tunis where 115 patients with GDM were involved and followed in post-partum period. Results: mean age of patients was 33.62 years. The GDM was persistent in 8 patients (7% of the population), and 29 cases of pre-diabetes (25.2%) were noted. The study of risk factors showed that age was not related to the persistence of GDM but the history of previous GDM, marcrosomia and insulin therapy 2018were significant (p = 0.002, 0.001 and 0.004). Low socioeconomic status was associated with persistent diabetes (p = 0.01) and the absence of health insurance (p = 0.01). Depression (HADS) was greater in case of persistent GDM 15.25 vs 11.64 with p = 0.01. The possession of a glucometer was a protective factor (p = 0.02) but not breastfeeding. After multivariate analysis, independent factors were history of GDM, insulin, cesarean delivery, glycemic screening at t2h> 1.88 g / l and depression were retained as independent risk factors. Conclusions: screening of a group of women at high risk for GDM persistence is crucial for subsequent management especially those with depression during pregnancy. [ABSTRACT FROM AUTHOR]
- Subjects :
- CHRONIC disease risk factors
INSULIN therapy
WEIGHT gain in pregnancy
FETAL macrosomia
NONPARAMETRIC statistics
STATISTICS
CHRONIC diseases
MULTIVARIATE analysis
BLOOD sugar monitoring
ANTHROPOMETRY
MULTIPLE regression analysis
PREGNANT women
BLOOD sugar monitors
MEDICAL screening
MANN Whitney U Test
FISHER exact test
RISK assessment
PSYCHOLOGICAL tests
COMPARATIVE studies
PEARSON correlation (Statistics)
TYPE 2 diabetes
PUERPERIUM
DISEASE prevalence
SOCIAL classes
MENTAL depression
BREASTFEEDING
CHI-squared test
DESCRIPTIVE statistics
GESTATIONAL diabetes
CESAREAN section
BODY mass index
DATA analysis software
ODDS ratio
LONGITUDINAL method
PREDIABETIC state
DISEASE risk factors
Subjects
Details
- Language :
- English
- ISSN :
- 0012835X
- Volume :
- 99
- Issue :
- 9
- Database :
- Complementary Index
- Journal :
- East African Medical Journal
- Publication Type :
- Academic Journal
- Accession number :
- 160593110