Prevalence of diabetes mellitus in women with prior gestational hyperglycemia

OBJECTIVE: To estimate the prevalence of glucose intolerance (diabetes mellitus and impaired glucose tolerance) in women who had their glucose tolerance evaluated and followed up during pregnancy. METHODS: Over the last 12 years since the index pregnancy, from a total of 3,113 pregnant women seen in...

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Detalhes bibliográficos
Autores: Silva, Márcia Rocha Gabaldi, Calderon, Iracema de Mattos Paranhos, Gonçalves, Luciana Colnago, Aragon, Flávio Ferrari, Padovani, Carlos Roberto, Pimenta, Walkyria de Paula
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2003
País:Brasil
Recursos:Universidade de São Paulo (USP)
Repositorio:Revista de Saúde Pública
Idioma:portugués
OAI Identifier:oai:revistas.usp.br:article/31597
Acesso em linha:https://www.revistas.usp.br/rsp/article/view/31597
Access Level:acceso abierto
Palavra-chave:Diabetes melito gestacional
Hiperglicemia na gestação
Diabetes melito
Gestational diabetes mellitus
Gestational hyperglycemia
Diabetes mellitus
Descrição
Resumo:OBJECTIVE: To estimate the prevalence of glucose intolerance (diabetes mellitus and impaired glucose tolerance) in women who had their glucose tolerance evaluated and followed up during pregnancy. METHODS: Over the last 12 years since the index pregnancy, from a total of 3,113 pregnant women seen in an obstetrics clinic, 551 were randomly selected and proportionally to the number of women in each group. Of these, 529 could be evaluated and had been classified as follows: 250 in group IA (normal glucose tolerance); 120 in group IB (daily hyperglycemia); 72 in group IIA (abnormal oral glucose tolerance test); and 87 in group IIB (abnormal oral glucose tolerance test and daily hyperglycemia). The evaluation consisted of measuring fasting plasma glucose and when the results ranged between 6.1 and 6.9 mmol/L, patients were submitted to oral glucose tolerance test. RESULTS: Prevalence of diabetes mellitus was: IA, 1.6%; IB, 16.7%; IIA, 23.6%; and IIB, 44.8% (IA < [IB=IIA]