Incidence and Contributing Factors of Persistent Hyperglycemia at 6–12 Weeks Postpartum in Iranian Women with Gestational Diabetes: Results from LAGA Cohort Study

Nouhjah, Sedigheh; Shahbazian, Hajieh; Shahbazian, Nahid; Jahanshahi, Alireza; Jahanfar, Shayesteh; Cheraghian, Bahman

doi:10.1155/2017/9786436

Cited by 22 publications

(24 citation statements)

References 57 publications

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“…High Glu120 and high HbA1c levels were associated with reduced insulin secretion and insulin resistance, respectively, at 2 years after delivery. Other reports have also indicated some risk factors for postpartum glucose tolerance [22][23][24][25][26][27][28]. Most of the predictive factors for diabetes that are reported in current publications refer to GDM diagnosed using criteria developed before the GDM diagnostic criteria were updated by the IADPSG [29].…”

Section: Discussionmentioning

confidence: 99%

Postpartum risk of diabetes and predictive factors for glucose intolerance in East Asian women with gestational diabetes

Inoue

Ishikawa

Takeda

et al. 2018

Diabetes Research and Clinical Practice

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Section: Discussionmentioning

confidence: 99%

Postpartum risk of diabetes and predictive factors for glucose intolerance in East Asian women with gestational diabetes

Inoue

Ishikawa

Takeda

et al. 2018

Diabetes Research and Clinical Practice

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“…Considerable evidences propose that beta-cell dysfunction likely contributes to increase the risk of glucose intolerance in the rst year postpartum in GDM women [22][23][24]. [25][26][27][28][29]. Additionally, history of GDM, pre-pregnancy overweight or obesity, pregnancy systolic blood pressure, or requiring insulin or metformin were reported as predisposing factors that predict postpartum MteS in GDM population [2,20].…”

Section: Discussionmentioning

confidence: 99%

WITHDRAWN: Early Post-partum Glucose Intolerance, Metabolic Syndrome and Gestational Diabetes Mellitus Determinants After Assisted Conception: A Prospective Cohort Study

Kouhkan

Hosseini

Baradaran

et al. 2020

Preprint

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Background: This study aimed to determine the prevalence of postpartum metabolic syndrome (MetS), glucose intolerance and other determinants, 6-12 weeks postpartum in women with assisted reproduction technology conception gestational diabetes mellitus diagnosis (ART-GDM) compared to women with spontaneous conception and GDM diagnosis (SC-GDM).Methods: In this prospective cohort study, two groups consisted of 62 ART-GDM and 64 SC-GDM singleton pregnant women were followed 6-12 weeks after delivery for postpartum MetS. Fasting glucose, 75-g 2-h OGTT and lipid profile were assessed. Waist and hip circumference, and systolic and diastolic blood pressures (BP) were measured at post- partum. Clinical, para clinical and obstetric data were recorded from registry offices. The prevalence of MetS and glucose intolerance were determined. Predictors of Mets and glucose intolerance were determined by logistic regression. Results: The prevalence of postpartum MetS was 20.8% in ART-GDM women and 10.9% in SC-GDM, P=0.123). Mean postpartum BMI and systolic BP were significantly higher in the ART-GDM group (P=0.016 and P=0.027, respectively). Adverse pregnancy outcomes were significantly higher in the ART-GDM group. Postpartum glucose intolerance prevalence did not vary significantly between the groups. Family history of diabetes was a predictive factor for postpartum MetS and glucose intolerance 6-12 weeks after delivery.Conclusions: Early postpartum MetS and glucose intolerance prevalence after assisted conception did not vary significantly; however, postpartum BMI and systolic BP were significantly higher in the ART-GDM group. Lifestyle modification program and long-term health care of ART women with GDM diagnosis can be recommended. Further studies with larger sample size and longer follow-up are necessary to verify our findings.

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“…Gestational diabetes [6][7][8][9][10][11][12][13][14][15] For the diagnosis of gestational diabetes, oral glucose tolerance test (OGTT) was performed in several steps.…”

Section: Overt Hyperthyroidismmentioning

confidence: 99%

“…Fetal complications are premature birth, macrosomia, trauma during the birth, neonatal hypoglycaemia, perinatal death. 6,7 Gestational hypertension also referred to as pregnancy induced hypertension (PIH) is a condition characterized by high blood pressure during pregnancy. Hypertension during pregnancy affects about 6-8% of pregnant women.…”

mentioning

confidence: 99%

Prevalence of pregnancy induced thyroid disorders, diabetes and hypertension in a tertiary care teaching hospital: an observational study

Mummalaneni¹,

Narasingarao

Myneni³

2019

Int J Reprod Contracept Obstet Gynecol

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INTRODUCTIONPregnancy induced thyroid disorders, diabetes and hypertension are the common endocrine and cardiovascular disorders seen maternally either in early and late period of pregnancy. Maternal thyroid dysfunction contributes many risk factors which includes increase thyroglobulin levels, renal excretion of iodine due to increased rate of glomerular filtration, alterations in thyroid hormone peripheral metabolism and modifications in iodine transfer to placenta. 1 Iodine requirement increases by 50% during gestation period which can be compensate with synthesis and production of maternal thyroid hormones from gland and 10% increase in gland size is estimated. 2 Pregnancy is a stress factor for thyroid gland which resulting in hypothyroidism with dietary iodine deficiency and very limited thyroidal reserve women. Early pregnancy ABSTRACT Background: Pregnancy induced thyroid disorders, gestational diabetes mellitus (GDM) and gestational hypertension are common problems in women with gestational period. Published literate shows wide range of prevalence in pregnancy induced disorders in other states of India, and as of now the exact prevalence in our study population is not studied. Hence, there present study was aimed to know the prevalence of pregnancy induced disorders in pregnant women in South Indian population. Methods: A total of 120 subjects were followed-up at the time of recruitment to entire gestational period. Standard guidelines were followed for the assessment of thyroid hormone levels, glucose tolerance test (OGTT) and blood pressure values at different intervals and positions. Apart from detailed clinical history has been taken and routine basic and obstetrical investigations were done. Results: Prevalence of thyroid dysfunction (15.0%), gestational diabetes mellitus (11.7%) and gestational hypertension (9.2%) was reported in the present study population. Subclinical hypothyroidism was highest prevalence amount thyroid disorders. Gestational diabetes subjects have mean blood glucose levels of 230.68±17.48 mg/dL with OGTT test. Gestational hypertensive patients had SBP of 152.4±10.8 and DBP of 96.6±6.4; pre-hypertensive subjects had SBP of 134.2±5.48 and DBP of 6.8±4.6 respectively. Conclusions: Our study findings were slightly higher than normal prevalence's which are reported earlier by various authors. We suggested that early screening, diagnosis and treatment are warranted for the prevention of maternal and fetal complications in Indian population.

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Incidence and Contributing Factors of Persistent Hyperglycemia at 6–12 Weeks Postpartum in Iranian Women with Gestational Diabetes: Results from LAGA Cohort Study

Cited by 22 publications

References 57 publications

Postpartum risk of diabetes and predictive factors for glucose intolerance in East Asian women with gestational diabetes

Postpartum risk of diabetes and predictive factors for glucose intolerance in East Asian women with gestational diabetes

WITHDRAWN: Early Post-partum Glucose Intolerance, Metabolic Syndrome and Gestational Diabetes Mellitus Determinants After Assisted Conception: A Prospective Cohort Study

Prevalence of pregnancy induced thyroid disorders, diabetes and hypertension in a tertiary care teaching hospital: an observational study

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