LBODP040 Positive Early Glucola Screening: Who Has Gestational Diabetes?

Abstract

This study set out to determine risk factors most predictive of early GDMA review was conducted of patients with positive early 1HR glucola screenings (≥135 mg/dL and reflex 3hr GTT before 20 weeks). Characteristics (comorbidities, family history, demographics) of patients who were diagnosed with early GDM were compared to those who were not. A multiple logistic regression model was constructed to compute adjusted odds ratios (aORs) for each covariate. Among 189 early GDM positive (BMI 36.1 ± 8.27; Age 32.7 ± 5.50) and 153 GDM negative (BMI 33.8 ± 7.24; Age 30.8 ± 5.45) patients were identified, the adjusted odds of developing GDM increases by: 6.7% (CI 1. 01-1.12; p 0. 01) or 4.5% (CI 1. 01-1. 08; p 0. 02) with a one unit increase in age or BMI, respectively. The aORs of developing GDM are 2. 0 (CI 1.24-3.26, p 0. 005), 3. 0 (CI 1.64-5.66; p 0. 0005), and 3.7 (CI 1.96-8.78, p 0. 0003) with family history of diabetes, prior history of GDM, or history of hypertension, respectively. This study was unique in that hypertension had the highest association with early GDM. Thus, individuals with HTN regardless of age, BMI, prior GDM, family history should receive an early glucola screen. Presentation: No date and time listed