None listed
Conditions
Brief summary
BACKGROUND: The new diagnosis criteria proposed for the International Association of Diabetes and Pregnancy Study Groups (IADPSG) was based for the first time in adverse perinatal outcomes. PURPOSE: To evaluate the prevalence of Gestational Diabetes Mellitus (GDM) with the new IADPSG diagnostic criteria and compare that the expected prevalence using the National Diabetes Data Group (NDDG) diagnostic criteria, and compared the prevalence of risk factors for GDM according to the used diagnostic criteria. METHODS: Unicentric and randomized controlled trial, performed in Coia's Speciality Medical Center, Spain. The data collected initiated in February 2013 and the analysis was done in March 2014. A total of 223 pregnant women were included in the study group (SG) and as control group (CG) were included 444 pregnant women. Each group were reclassified into other dependents to the diagnostic criteria. RESULTS: Total prevalence of GDM was 36.32% in SG and 11.26 % in CG. Comparing the risk factors studied in groups, was founded significant statistical differences for: DM in the first-degree relatives variable in SG and CG (p equal to 0.012), for the age as quantitative variable between SG-GDM and CG-GDM (p equal to 0.028) and between SG-OGTT and CG-GDM (p equal to 0.013), for the age greater than or equal to 30 years old qualitative variable between CG-GDM and SG-1T (p equal to 0.019) and between CG-N and CG-GDM (p equal to 0.015), for the pre-gestational BMI quantitative variable between CG-GDM and SG-1T (p equal to 0.017) and between CG-N and CG-GDM (p equal to 0.020) and for the pre-gestational BMI greater than or equal to 30 qualitative variable between SG-OGTT and SG-N (p equal to 0.026). CONCLUSIONS: The prevalence of GDM increases using the IADPSG criteria and the pregnant women diagnosed with this new criteria had lower prevalence of risk factors for developing GDM who pregnant women diagnosed with the NDDG criteria.
Interventions
A total of 223 pregnant women were included in the study group (SG), in which were diagnosed Gestational Diabetes Mellitus (GDM) considering the International of Diabetes in Pregnancy Study Groups (IADPSG) diagnostic criteria: First trimester fasting plasma glucose (FPG) greater than or equal to 92 mg/dl or in those with first trimester FPG less than 92 mg/dl a 75g oral glucose tolerance test (OGTT) performed between 24th and 28th week of gestation presenting one or more of these values: FPG gre
A total of 223 pregnant women were included in the study group (SG), in which were diagnosed Gestational Diabetes Mellitus (GDM) considering the International of Diabetes in Pregnancy Study Groups (IADPSG) diagnostic criteria: First trimester fasting plasma glucose (FPG) greater than or equal to 92 mg/dl or in those with first trimester FPG less than 92 mg/dl a 75g oral glucose tolerance test (OGTT) performed between 24th and 28th week of gestation presenting one or more of these values: FPG greater than or equal to 92 mg/dl, after 1-hour greater than or equal to 180 mg/dl and/or after 2-hours greater than or equal to 153 mg/dl.
Sponsors
UNIVERSIDAD DE VIGO
Study design
Allocation
Randomised controlled trial
Primary purpose
Diagnosis
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Age greater than or equal to 18 years old, a single-fetus pregnancy and signed consent to participate in the study, were included.
Exclusion criteria
Those women who did not meet the inclusion criteria, did not finish the diagnostic strategy for GDM and/or presented some carbohydrate disorder that had been diagnosed before the pregnancy were excluded.
Outcome results
None listed