medigraphic.com
ISSN 1727-897X (Electronic)

2019, Number 3

<< Back Next >>

Medisur 2019; 17 (3)

Impaired fasting glycemia versus impaired glucose tolerance test. Perinatal results. Cienfuegos, 2016

Torres GCJ, Vega RY, Vázquez MVR

Language: Spanish
References: 19
Page: 350-355
PDF size: 213.57 Kb.


ABSTRACT

Foundation: Impaired maternal glycemia figures can cause perinatal morbidity and mortality. The study of impaired fasting blood glucose in pregnant women is of relevant importance, due to its impact on perinatal outcomes; and it requires new analyzes, in correspondence with the current criteria.
Objective: to compare perinatal results of pregnant women with impaired fasting glycaemia, with those of those who presented an impaired glucose tolerance test.
Methods: a descriptive study was carried out in the obstetrics department of the Dr. Gustavo Aldereguía Lima Hospital, in Cienfuegos, from January to December 2016. A number of 144 pregnant women diagnosed with gestational diabetes mellitus, according to criteria of the World Health Organization were studied and were divided according to the diagnostic criteria in: patients with impaired fasting blood glucose and patients with impaired glucose tolerance test. Both groups were compared in terms of clinical variables and perinatal results. Square Chi was used (p <0.05) and the risk ratio was calculated (95 % CI).
Results: the groups compared showed similar results in terms of age, body mass index, time of pregnancy at diagnosis, parity, treatment, gestational age at birth; as well as in the perinatal results: rate of labor induction and cesarean section, congenital malformations, fetal microsomia and low weight, neonatal asphyxia, neonatal ventilation and admission to neonatal intensive care.
Conclusion: pregnant women with impaired fasting blood glucose showed clinical characteristics and perinatal results similar to pregnant women with impaired glucose tolerance test.


REFERENCES

  1. William JW. The clinical significance of glycosuria in pregnant women. Am J Med. 1909 ; 137: 1-26.

  2. Jovanovic L, Pettitt DJ. Gestational Diabetes Mellitus. JAMA. 2001 ; 286 (20): 2516-8.

  3. Colectivo de autores. Diabetes y embarazo. Diagnóstico y tratamiento. Obstetricia y perinatología. La Habana: Editorial Ciencias Médicas; 2012. p. 306-21.

  4. O´Sullivan JB, Mahan CM. Criteria from the oral tolerance test in pregnancy. Diabetes. 1964 ; 13: 278-85.

  5. Crowther CA, Hiller JE, Mas JR, McPhee AJ, Jeffries WS, Robinson JS, et al. Effect of gestational diabetes mellitus on pregnancy outcomes. N Engl J Med. 2005 ; 352 (24): 2477-86.

  6. Metzger BE, Lowe LP, Dyer AR, Trimble ER, Chaovarindr U, Coustan DR et al; HAPO Study Cooperative Research Group. Hyperglycemia and adverse pregnancy outcomes. N Engl J Med. 2008 ; 358 (19): 1991-2002.

  7. Wendland EM, Torloni MR, Falavigna M, Trujillo J, Dode MA, Campos MA, et al. Gestational diabetes and pregnancy outcomes - a systematic review of the World Health Organization (WHO) and the International Association of Diabetes in Pregnancy Study Groups (IADPSG) diagnostic criteria. BMC Pregnancy Childbirth. 2012 ; 12: 23.

  8. Márquez A. Programa Nacional de Atención a la Gestante con Diabetes [Internet]. La Habana: MINSAP; 2009. [ cited Dic 12 ] Available from: http://articulos.sld.cu/diabetes/2009/10/24/prese ntacion-de-los-resultados-del-programa-nacionalde-diabebetes-y-embarazo.

  9. Valdes L. La diabetes mellitus gestacional (DMG). Rev Cub Obstet Ginecol [revista en Internet]. 2010 [ cited 12 Dic 2018 ] ; 36 (2): [aprox. 6p]. Available from: http://scielo.sld.cu/pdf/gin/v36n2/gin01210.pdf.

  10. Cagigal Y, Rodríguez LA. Algunas variables relacionadas con el diagnóstico de la diabetes gestacional en Ciego de Ávila. MEDICIEGO [revista en Internet]. 2015 [ cited 12 Dic 2018 ] ; 21 (3): [aprox. 12p]. Available from: http://www.revmediciego.sld.cu/index.php/medici ego/article/view/457/864.

  11. Luján M, Costa JE. Diabetes gestacional. Influencia del estado e intervención nutricional en un centro especializado en reproducción. Actualización en Nutrición [revista en Internet]. 2016 [ cited Dic 12 ] ; 17 (1): [aprox. 16p]. Available from: http://www.revistasan.org.ar/pdf_files/trabajos/vo l_17/num_1/RSAN_17_1_3.pdf.

  12. Vega ML, Larrabure G, Escudero G, Chávez R. Factores de riesgo para diabetes mellitus gestacional en el Hospital Nacional PNP “LUIS N. SÁENZ”. 2013-2014. Revista Médica Carriónica [revista en Internet]. 2016 [ cited 12 Dic 2018 ] ; 3 (4): [aprox. 12p]. Available from: http://cuerpomedico.hdosdemayo.gob.pe/index.p hp/revistamedicacarrionica/article/view/137/93.

  13. Díaz H, Rodríguez JM, del Risco F, Nápoles Y, Cabrera I, Quintero OL. Manejo insulínico de la gestante con tolerancia a la glucosa potencialmente alterada. AMC [revista en Internet]. 2015 [ cited 12 Dic 2018 ] ; 19 (1): [aprox. 12p]. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext& pid=S1025-02552015000100004.

  14. Patel VN, Goswuami TM, Pandya NH, Mevada AK. Maternal postprandial blood glucose levels and its relation with the pregnancy outcomes. IJBAR. 2014 ; 5 (3): 174-7.

  15. Valdés L, Santana O, Rodríguez B, Lang J, Santurio A, Márquez A. Repercusión materna y perinatal de la glicemia en ayunas alterada en ayunas. Rev Cubana Obstet Ginecol [revista en Internet]. 2008 [ cited 12 Dic 2018 ] ; 34 (3): [aprox. 8p]. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext& pid=S0138-600X2008000300002.

  16. Rivas A, Palacios C. Resultados maternos y perinatales en mujeres con diabetes gestacional según criterios de pesquisa. Rev Obstet Ginecol Venez [revista en Internet]. 2015 [ cited 12 Dic 2018 ] ; 75 (3): [aprox. 8p]. Available from: http://www.scielo.org.ve/scielo.php?script=sci_art text&pid=S0048-77322015000300002.

  17. Thompson D, Berger H, Feig D, Gagnon R, Kader T, Keely E, et al; Canadian Diabetes Association Clinical Practice Guidelines Expert Committee. Diabetes and pregnancy. Can J Diabetes. 2013 ; 37 Suppl 1: SS168-83.

  18. Retnakaran R, Kramer CK, Ye C, Kew S, Hanley AJ, Connelly PW, Sermer M, Zinman B. Fetal Sex and Maternal Risk of Gestational Diabetes Mellitus: The Impact of Having a Boy. Diabetes Care. 2015 ; 38 (5): 844-51.

  19. American Diabetes Association. Position statement. Classification and Diagnosis of Diabetes. Diabetes Care. 2015 ; 38 Suppl 1: SS8-16.




2020     |     www.medigraphic.com