Postpartum Reclassification of Glycemic Status in Women with Gestational Diabetes Mellitus and Associated Risk Factors

Alves, Jacy Maria; Stollmeier, Aline; Leite, Isabelle Gasparetto; Pilger, Camilla Gallo; Detsch, Josiane Cristine Melchioretto; Radominski, Rosana Bento; Réa, Rosângela Roginski

doi:10.1055/s-0036-1588008

Cited by 8 publications

(4 citation statements)

References 38 publications

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“…38 Outros desenhos feitos também estão de acordo com essa associação, como uma pesquisa coorte envolvendo 279 mulheres com DMG concluiu que mulheres cujas mães tiveram diabetes mellitus tipo 2 tinham maiores chances de desenvolver diabetes mellitus tipo 2 no pós-parto (0=0,009). 39 Entretanto, alguns estudos não comprovaram tal associação. Uma pesquisa envolvendo 366 mulheres com histórico de diabetes gestacional concluiu que um histórico familiar de diabetes e um histórico pessoal de diabetes gestacional em gravidez prévia não foram fatores que não tiveram associação estatística com o desenvolvimento de tolerância anormal à glicose (p valor foi respectivamente 0,24 e 0,14).…”

Section: Resultsunclassified

Persistência Hiperglicêmica No Pós Parto

Almeida¹,

Kunzendorff²,

Motté³

et al. 2021

bjdv

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Introdução: analisar a persistência de hiperglicemia no pós parto em pacientes com histórico de diabetes mellitus gestacional. Metodologia: Revisão sistemática no Pubmed e Scopus, usando ensaios clínicos randomizados, dos últimos 10 anos (Pubmed), 20 anos (Scopus) em inglês. Com descritores: Post partum period AND Diabetes mellitus, gestational AND Hyperglicemia e Diabetes AND Mellitus AND Gestation AND Puerperium AND Hyperglicemia. Resultados: Os estudos demonstraram a importância de se utilizar mais de um método diagnóstico para DMG. As medidas não farmacológicas de mudanças de estilo de vida se mostram suficientes na maioria das pacientes. Discussão: Outros estudos levantaram questões como a necessidade de utilização de mais de um teste para diagnosticar tais condições patológicas, níveis elevados de proteína C reativa, hiperglicemia gestacional, níveis elevados de triglicerídeos, fatores étnicos, histórico familiar, tratamento e ganho excessivo de peso, sendo alguns consoantes e outros dissonantes em relação aos resultados dos estudos selecionados pelo presente artigo. Conclusão: Faz-se necessário uma padronização de um diagnóstico eficaz e propostas de intervenção com melhor evolução para a paciente, além de realizar avaliação individual, nos quesitos ambientais étnicos, história pregressa do paciente e histórico familiar da doença, a fim de predizer as suas chances de cursar com doença gestacional.

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Section: Resultsunclassified

Persistência Hiperglicêmica No Pós Parto

Almeida¹,

Kunzendorff²,

Motté³

et al. 2021

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“…37 Also, earlier studies done in Brazil and Iran demonstrated that overt postpartum diabetes mellitus and IGT were 8.1% and 21.4%, respectively, while 70.5% restored normoglycemic state. 38,39 However, some other studies reported a lower prevalence rate of diabetes that ranged from 2-8%. [40][41][42]…”

Section: Discussionmentioning

confidence: 99%

Universal screening of gestational diabetes mellitus in Upper Egypt: Prospective cohort study of the prevalence, risk factors, and short-term outcomes

Eltoony,

Khalifa,

Mobarkout

et al. 2023

UNOAJ

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Background: Despite the high prevalence of diabetes mellitus in Egypt, the real prevalence and epidemiology of gestational diabetes mellitus (GDM) in Upper Egypt are still lacking. Objective: This study aims to determine the prevalence and risk factors of GDM among pregnant women in Upper Egypt and to evaluate the fetal and maternal outcomes of this disease. Methods: This prospective cohort study was conducted between July 2014 and July 2018. Universal screening for GDM among all pregnant women attending primary health care clinics was done using Diabetes in Pregnancy Study Group of India (DIPSI) criteria. Those with GDM were followed up until the end of purpureum. Maternal and fetal outcomes were recorded. Results: GDM was diagnosed in 956 out of 7141 pregnant women (13.4%). Previous history of GDM, macrosomic babies, and family history of diabetes were all significantly higher in GDM women (P<0.001 each). However, no definite risk factors were observed in about half of the GDM women. 29% of GDM women responded to medical nutrition therapy (MNT) alone. When the oral glucose tolerance test (OGTT) was repeated Postpartum, diagnosis of DM was established in 14.3% of the cohort, while 25.7% had impaired glucose tolerance. Conclusions: The prevalence of GDM is relatively high in Upper Egypt. Half of GDM cases lack risk factors. Universal screening using OGTT should be routinely performed on all attendant pregnant ladies. Discrete MNT is not enough management in most GDM cases.

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“…Gestational diabetes mellitus usually resolves after delivery, as hormones secreted from the placenta, as the main source of insulin resistance, are removed from the body (39). Therefore, the need for drug therapy mostly resolves after delivery although these patients are at risk of type 2 diabetes, which may occur in 50% of women in the next 20 years (40,41).…”

Section: Recommendation 35mentioning

confidence: 99%

Iranian Endocrine Society Guidelines for Screening, Diagnosis, and Management of Gestational Diabetes Mellitus

Hosseinpanah

Tehrani

Abdi

et al. 2020

Int J Endocrinol Metab

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Context: Gestational diabetes mellitus (GDM) is an important endocrine disorder in perinatology, associated with several maternal and neonatal complications. Development of national guidelines can inform clinicians, health policymakers, and researchers about the most recent evidence and practical issues of diagnosis and management of GDM. Objectives: We aimed to develop clinical practice guidelines for the diagnosis and management of GDM in Iranian pregnant women. Evidence Acquisition: The Iranian Endocrine Society constituted a task force, consisting of obstetrician-gynecologists, endocrinologists, a clinical nutritionist, a clinical epidemiologist, and a librarian, to review the published literature and propose national guidelines for the diagnosis and management of GDM. The consensus was reached on all recommendations in several group meetings with a majority decision. The evidence and recommendations were graded according to the American College of Physicians’ Guideline Grading System. Results: The proposed guidelines included recommendations for screening, diagnosis, and management of GDM in Iran. Conclusions: By using an evidence-based approach, these national GDM guidelines can address important clinical issues in the diagnosis and management of Iranian women with GDM.

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Postpartum Reclassification of Glycemic Status in Women with Gestational Diabetes Mellitus and Associated Risk Factors

Cited by 8 publications

References 38 publications

Persistência Hiperglicêmica No Pós Parto

Persistência Hiperglicêmica No Pós Parto

Universal screening of gestational diabetes mellitus in Upper Egypt: Prospective cohort study of the prevalence, risk factors, and short-term outcomes

Iranian Endocrine Society Guidelines for Screening, Diagnosis, and Management of Gestational Diabetes Mellitus

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