Hypertensive disorders in Japanese women with gestational glucose intolerance

Miyakoshi, Kei; Tanaka, Mamoru; Matsumoto, Tadashi; Hattori, Yoshihisa; Ueno, Kazunori; Teranishi, Takahide; Ishimoto, Hitoshi; Shimada, Akira; Yoshimura, Yasunori

doi:10.1016/j.diabres.2003.11.002

Cited by 21 publications

(13 citation statements)

References 28 publications

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“…There is also a significant correlation between the monthly incidence of pre-eclampsia and the heat index at 2 months after conception. The overall incidence of preeclampsia in our cohort was similar to that reported recently in other Asian populations [25,26] and that by Phillips et al [8] . The accuracy of the diagnosis and coding of pre-eclamptic cases were scrutinized in our unit.…”

Section: Discussionsupporting

confidence: 77%

Seasonal Variation in Pre-Eclamptic Rate and Its Association with the Ambient Temperature and Humidity in Early Pregnancy

Tam¹,

Sahota²,

Lau³

et al. 2008

Gynecol Obstet Invest

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Aims: To determine any relationship between ambient temperatures adjusted for humidity at conception and the occurrence of pre-eclampsia. Methods: The subjects were singleton primiparae delivered in a Teaching Hospital between 1995 and 2002. We studied the odds of developing pre-eclampsia across months and investigated the association between the pre-eclamptic rates based on the months of conception and the mean monthly heat index. Results: A total of 245 (1.6%) women were diagnosed pre-eclampsia and eclampsia during the study period. There was a significant association between the seasons of conception and rate of pre-eclampsia (logistic regression Wald χ² = 9.2, p = 0.03). Conceptions during summer had a higher risk of pre-eclampsia than those during autumn (2.3 vs. 1.6%, OR 1.7, 95% CI 1.2–2.5). Women who conceived in June had the highest risk of developing pre-eclampsia (OR 2.8, 95% CI 1.5–5.2) while women who conceived in October had the lowest after adjusting for age. A 2-month time lag was observed between the peak pre-eclamptic rate in women who conceived in June and the peak heat index in August. Conclusion: Singleton primiparous women who conceived in summer and had a longer exposure to higher ambient temperature were at a greater risk of pre-eclampsia.

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Section: Discussionsupporting

confidence: 77%

Seasonal Variation in Pre-Eclamptic Rate and Its Association with the Ambient Temperature and Humidity in Early Pregnancy

Tam¹,

Sahota²,

Lau³

et al. 2008

Gynecol Obstet Invest

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“…There were significant differences in pregravid overweight, prior GDM, and a family history of DM among subjects with NGT and GDM, as were noted in the former situations [11]. Of note, no significant differences were found in the occurrence of perinatal outcome including LGA and pregnancy-induced hypertension between the NGT and GDM groups in this study cohort.…”

Section: Discussionmentioning

confidence: 52%

Clinical impact of women with gestational diabetes mellitus by the new consensus criteria: two year experience in a single institution in Japan

et al. 2014

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In 2010, International Association of Diabetes and Pregnancy Study Group (IADPSG) proposed new criteria for diagnosing and classifying gestational diabetes mellitus (GDM), based on data of the observational hyperglycemia and adverse pregnancy outcomes (HAPO) study [1]. Since the new diagnostic criteria would increase the frequency of GDM diagnosis without a detailed cost-effectiveness analysis, the number of health care associations implementing the new criteria is still limited [2]. Thus, there is a paucity of information on the IADPSG-defined GDM from a real experi- Abstract. There is a paucity of information on perinatal data regarding gestational diabetes mellitus (GDM) by the new criteria from a real experience because the number of health care associations implementing the new criteria is still limited. The aim of this study is to investigate perinatal features of the new criteria-defined GDM. We reviewed a total of 995 women with singleton pregnancy that underwent GDM screening followed by a diagnostic oral glucose tolerance test (OGTT). All women found to have GDM underwent self-monitoring of blood glucose measurements as well as dietary management. Insulin treatment was initiated when dietary treatment did not achieve the glycemic goal. Of the 995 women, 141 had GDM (14.2%): 104 with one, 27 with two, and 10 with three abnormal OGTT values. Women with two or three abnormal OGTT values (2/3-AV) needed insulin treatment more frequently than those with one abnormal OGTT value (1-AV) (70.3% vs 23.1%, P < 0.0001). After adjustment for age, pregravid overweight, gestational weeks at diagnosis, a first-degree family history of diabetes was correlated with the implementation of insulin treatment in women with 1-AV (adjusted odds ratio 3.9; 95% Confidence Interval 1.7-9.2; P = 0.001). When compared perinatal outcomes between women with normal glucose tolerance and GDM, fetal growth and the occurrence of pregnancy-induced hypertension were comparable between the two groups. Our data suggest that the IADPSG-defined GDM with 1-AV show less severe glucose intolerance, but might be at risk of insulin requirement when a first-degree family history of diabetes exists. Key words:The new consensus criteria, Gestational diabetes mellitus, Large-for gestational age, Gestational hypertension ence. Especially, clinical significance of GDM by one abnormal value under the IADPSG criteria remains unknown [3]. In Japan, the IADPSG recommendation was adopted in July 2010 [4], and is commonly used in the obstetric practice, although the screening strategy varies in hospitals. With this background, we have investigated perinatal outcomes of the IADPSG-defined GDM in our hospital. First, maternal clinical and metabolic features were compared between women with a single and two or three abnormal oral glucose tolerance test (1-and 2/3-AV) values. Second, factors associated with insulin treatment in women with 1-AV were investigated. Third, perinatal outcomes were compared between women with normal glucose tolerance and IADPSG-defined ...

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“…Although preeclampsia and GDM may appear to be unrelated disease entities because their clinical manifestation and diagnostic criteria do not overlap, many studies have shown a correlation between preeclampsia and GDM. Miyakoshi et al [5] described the perinatal outcomes of pregnant women with mild glucose intolerance or GDM and noted significantly higher rates of preeclampsia. Similarly, preeclampsia is thought to be linked to the degree of glucose intolerance [6–8].…”

Section: Introductionmentioning

confidence: 99%

Preeclampsia: A risk factor for gestational diabetes mellitus in subsequent pregnancy

et al. 2017

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Preeclampsia and gestational diabetes (GDM) have several mechanisms in common. The aim of this study was to determine whether women with preeclampsia have an increased risk of GDM in a subsequent pregnancy. Study data were collected from the Korea National Health Insurance Claims Database of the Health Insurance Review and Assessment Service for 2007–2012. Patients who had their first delivery in 2007 and a subsequent delivery between 2008 and 2012 in Korea were enrolled. A model of multivariate logistic regression analysis was performed with GDM as the final outcome to evaluate the risk of GDM in the second pregnancy. Among the 252,276 women who had their first delivery in 2007, 150,794 women had their second delivery between 2008 and 2012. On the multivariate regression analysis, women with preeclampsia alone in the first pregnancy had an increased risk of GDM in the second pregnancy when compared with women who had neither of these conditions in their first pregnancy (OR 1.2, 95% CI, 1.1–1.3). Women with GDM alone in the first pregnancy were at an increased risk for GDM in the second pregnancy (OR 3.3, 95% CI 3.1–3.4). The co-presence of preeclampsia and GDM in the first pregnancy further increased the risk of GDM in the second pregnancy (OR 5.9, 95% CI, 4.0–8.6). Our study showed that a history of preeclampsia may serve as an additional risk factor for GDM in a subsequent pregnancy.

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Hypertensive disorders in Japanese women with gestational glucose intolerance

Cited by 21 publications

References 28 publications

Seasonal Variation in Pre-Eclamptic Rate and Its Association with the Ambient Temperature and Humidity in Early Pregnancy

Seasonal Variation in Pre-Eclamptic Rate and Its Association with the Ambient Temperature and Humidity in Early Pregnancy

Clinical impact of women with gestational diabetes mellitus by the new consensus criteria: two year experience in a single institution in Japan

Preeclampsia: A risk factor for gestational diabetes mellitus in subsequent pregnancy

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