Screening for diabetes mellitus in pregnancy

Illangasekera, Upali; Senaratne, Ganaka

doi:10.4038/cmj.v47i1.6418

Cited by 6 publications

(10 citation statements)

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“…In total, 30 137 individuals were included in the study. Seven (46.7%) studies19–25 are conducted in the Western province, 2 (13.3%) studies26 27 were conducted at the national level, 2 (13.3%) studies were conducted in Central province,28 29 1 (6.7%) each in Southern,30 Northern,31 North-Central32 and 1 study31 was conducted jointly in four provinces (Western, North-Central, Uva and Southern). Regarding the study design, a cross-sectional research design was employed in 10 of the 15 studies and 5 studies did not clearly label a study design, it can be inferred that these studies used a cross-sectional research design.…”

Section: Resultsmentioning

confidence: 99%

“…Regarding the study design, a cross-sectional research design was employed in 10 of the 15 studies and 5 studies did not clearly label a study design, it can be inferred that these studies used a cross-sectional research design. Out of 15 studies, 3 (20%) studies were conducted in urban areas27 28 32 (20%) in rural areas,19 24 33 7 (47%) studies in urban-rural mixed settings21–23 25 26 29 31 and 2 (13.3%) studies in a suburban area 21–30. Study sample sizes ranged range from 19919 to 604721 individuals, with a median of 1234.…”

Section: Resultsmentioning

confidence: 99%

“…The gender type of the participants was recorded in 13 studies. Regarding risk of bias assessment, 13 studies20 22–33 were rated to have a low risk of bias, 2 studies19 21 were rated to have a moderate risk of bias and none were rated to have a high risk of bias. Kappa score=0.85, p=0.001 shows that the reviewers agreed on the extracted data.…”

Section: Resultsmentioning

confidence: 99%

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Prevalence of type 2 diabetes and pre-diabetes in Sri Lanka: a systematic review and meta-analysis

Akhtar,

Ali,

Asghar

et al. 2023

BMJ Open

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ObjectiveThe purpose of this research was to determine the prevalence of diabetes and pre-diabetes in Sri Lanka.DesignSystematic review and meta-analysis.Data sourcesMEDLINE (via PubMed), Web of Science, Sri Lankan Journals online and Google Scholar were searched for relevant articles published between January 1990 and June 2022 investigating the prevalence of pre-diabetes and diabetes in Sri Lanka.MethodsRandom effect meta-analyses were conducted to derive the pooled prevalence of pre-diabetes and diabetes and their 95% CIs. Heterogeneity was explored by subgroup and meta-regression analyses. Sensitivity analyses were used to evaluate the impact of any single study on the pooled estimates. Two authors screened articles, extracted data and evaluated the quality of selected studies.ResultsA total of 479 articles were reviewed, and 15 studies (n=30 137 participants) were selected in the final analysis. The overall pooled prevalence of diabetes was 12.07% (95% CI, 8.71% to 15.89%; prediction interval: 1.28–31.35). The pooled pre-diabetes prevalence was 15.57% (95% CI, 9.45% to 22.88%; prediction interval: 0.02–49.87). The pooled type 2 diabetes prevalence was the highest in the latest period of 2011–2021 (17.25%) than in the period of 2000s (11.84%) and 1990s (5.62%).ConclusionsThe growing trend of diabetes and pre-diabetes over the last 30 years is alarming in Sri Lanka. The government of Sri Lanka needs to take steps to improve diabetes education, screening, diagnosis and treatment.PROSPERO registration numberCRD42021288591.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Prevalence of type 2 diabetes and pre-diabetes in Sri Lanka: a systematic review and meta-analysis

Akhtar,

Ali,

Asghar

et al. 2023

BMJ Open

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“…In a study reported previously, it was shown that only 25% of pregnant mothers attending an antenatal clinic have been screened for diabetes (12). Pregnancy outcome among women with diabetes is significantly poorer than in the background population (13).…”

Section: Sri Lanka Journal Of Diabetes Endocrinology and Metabolismmentioning

confidence: 98%

Towards a cost-effective delivery of diabetes care in Sri Lanka

Illangasekera

2012

Sri Lanka J. Diabetes Endocrinol. Metab.

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“…More than 50 years ago, Lemercier et al had reported clinical neurologic as well as electroencephalographic abnormalities noted in persons with malaria in Paris in 1969 [ 3 ]. However, the earliest documentation of neurological sequelae following malaria was probably by Illangasekera et al who reported two cases of cerebellar ataxia in Kandy, Sri Lanka in 1976 [ 4 ]. The two patients had no fever on presentation but had malaria parasites and were treated with chloroquine and recovered fully.…”

Section: Literature Reviewmentioning

confidence: 99%

Post-malarial neurological syndrome in a Gambian adult residing in the Gambia: a case report and a review of literature

Ekeh,

Bah,

Jobe

et al. 2023

Malar J

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Background Post malarial neurological syndrome (PMNS) occurs as a sequel of cerebral malaria which is the most deadly form of severe malaria. In holo-endemic regions (areas of high malarial transmission) all forms of severe malaria as well as cerebral malaria usually occur in children and those who are semi or non-immune like pregnant women, migrants as well as tourists. It also occurs in hypo-endemic regions (areas of limited malarial transmission with low immunity) and malaria- free zones. Survivors however may have neurologic complications after recovery. PMNS has been reported in many parts of the world. Being a sequel to cerebral malaria, it is uncommon in adults who were born and reside in a holo-endemic region all their lives. Case report This is the case of an 18 year old Gambian who has lived in The Gambia all his life that had PMNS five days after recovery from cerebral malaria. Methods This was a predominantly web based literature search. The search comprise all case reports, original articles and reviews on PMNS or neurological deficits associated with malaria or noted after malaria infection. The search engines used were Google, Yahoo and Google scholar. Results A total of 62 papers were found. These were used for this review of the literature. Conclusion Cerebral malaria also occurs in adults in holo-endemic areas though rare and some of the survivors may develop PMNS. It is commoner in the youth age group. There is need for further studies since the youth may be a possible new ‘vulnerable group’ in holoendemic areas. This may lead to the widening the targeted group for malaria control in the regions of high malarial transmission.

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Screening for diabetes mellitus in pregnancy

Cited by 6 publications

References 0 publications

Prevalence of type 2 diabetes and pre-diabetes in Sri Lanka: a systematic review and meta-analysis

Prevalence of type 2 diabetes and pre-diabetes in Sri Lanka: a systematic review and meta-analysis

Towards a cost-effective delivery of diabetes care in Sri Lanka

Post-malarial neurological syndrome in a Gambian adult residing in the Gambia: a case report and a review of literature

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