Gestational Diabetes, Obesity, Pregnancy
Conditions
Brief summary
This is an observation study of women with gestational diabetes. Subjects recruited undergo immediate postpartum diabetic screening prior to discharge. Post-partum screening for overt diabetes is repeated 6-12 weeks postpartum. The outcome of interest is the utility of an immediate post partum screen for overt diabetes compared to a traditional 6 week test.
Interventions
None listed
Sponsors
Centers for Disease Control and Prevention
Loyola University
MetroHealth Medical Center
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Singleton pregnancy * Gestational diabetes
Exclusion criteria
* Multiple gestations * pre-pregnancy diabetes
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Primary outcome: sensitivity of immediate post partum screen | Immediate post partum | 2 hour fasting 75g OGTT immediately post partum. This is compared to a traditional 6 week post partum 75g OGTT for the sensitivity, positive and negative predictive value of the immediate post partum test |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Secondary outcome: physiology | 3 time points: antepatum, immediate postpartum, 6 weeks post partum | A small sub-cohort of women will undergo an additional 2 hour fasting 75g OGTT in the third trimester with measurements of insulin, cytokines, lipids. |
Countries
United States
Outcome results
None listed