Use of a clinical‐laboratory score to guide treatment of gestational diabetes

Valle, Juliana Barros do; Silva, Jean Carl; Oliveira, Daniela Sousa; Martins, Lisiane; Lewandowski, Amanda L.; Horst, Wagner

doi:10.1002/ijgo.12326

Cited by 3 publications

(4 citation statements)

References 23 publications

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“…Scores below 0 (zero) indicate the need for a new consultation with a nutritionist; between 0 and 2, maintenance of diet and exercise; between 2 and 4, introduction of oral antihyperglycemic; and, when greater than 4, administration of insulin added to the oral drug. 18 All data were collected at the time of the study from the EPR. The maternal variables analyzed were: age, parity, pregestational BMI, weight gain during pregnancy, diagnostic gestational age (GA), preeclampsia, presence of systemic arterial hypertension (SAH) prior to gestation, 75-gram oral glucose tolerance test (OGTT), controlled glycemic index during prenatal care, glycosylated hemoglobin (HbA1c), and delivery route.…”

Section: Methodsmentioning

confidence: 99%

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Factors Associated with the Need for Insulin as a Complementary Treatment to Metformin in Gestational Diabetes Mellitus

Souza

Silva

et al. 2019

Rev Bras Ginecol Obstet

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Objective To evaluate the factors associated with the need for insulin as a complementary treatment to metformin in pregnant women with gestational diabetes mellitus (GDM). Methods A case-control study was performed from April 2011 to February 2016 with pregnant women with GDM who needed complementary treatments besides diet and physical exercise. Those treated with metformin were compared with those who, in addition to metformin, also needed the combination with insulin. Maternal characteristics and glycemic control were evaluated. Multinomial logistic regression models were developed to evaluate the influence of different therapies on neonatal outcomes. Results A total of 475 pregnant women who needed pharmacological therapy were evaluated. Of these, 366 (77.05%) were submitted to single therapy with metformin, and 109 (22.94%) needed insulin as a complementary treatment. In the analysis of the odds ratio (OR), fasting glucose (FG) < 90 mg/dL reduced the odds of needing the combination (OR: 0.438 [0.235–0.815]; p = 0.009], as well as primiparity (OR: 0.280 [0.111–0.704]; p = 0.007]. In obese pregnant women, an increased chance of needing the combination was observed (OR: 2,072 [1,063–4,039]; p = 0,032). Conclusion Obesity resulted in an increased chance of the mother needing insulin as a complementary treatment to metformin, while FG < 90 mg/dL and primiparity were protective factors.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Factors Associated with the Need for Insulin as a Complementary Treatment to Metformin in Gestational Diabetes Mellitus

Souza

Silva

et al. 2019

Rev Bras Ginecol Obstet

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“…https://www.lume.ufrgs.br/bitstream/handle/10183/177209/Poster_54806.pdf?se quence=2. Arterial Hypertension 38 (7,4) Hypertensive Disease of Pregnancy 3 (0,6)…”

Section: Discussionmentioning

confidence: 99%

“…Previus abortion 85 (16,5) GA at Diagnosis 26,85 (7,6) Trimester of diagnosis 1st trimester 27 (5,3) 2nd trimester 149 (29,3) 3rd trimester 332 (65,2)…”

Section: Tablesmentioning

confidence: 99%

Profile of the pregnant woman with Gestational Diabetes Mellitus in a private hospital in Joinville, Brazil

Baptista

Schulz

Fleith

et al. 2022

Preprint

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Objective: To analyze the maternal-fetal characteristics of patients with gestational diabetes mellitus (GDM) attended in a private service. Materials and Methods: This is a cross-sectional study. Data collection was carried out from the medical records of patients diagnosed with GDM at Centro Hospitalar UNIMED, in Joinville city, between 2011 and 2017. Maternal-fetal characteristics, therapeutics and complications of pregnant women diagnosed with GDM were analyzed. Results: 515 patients with GDM were reported. Of the maternal characteristics, the mean age was (31.77), BMI (27.82). The proportion of obese pregnant women was (55.6%), normal (42.4%) and low weight (2%). The preference for cesarean section was (81.4%) and Gestational Age (GA) of GDM diagnosis (26.85), with higher diagnosis in the third trimester (65.2%) than second (29.3%) and first (5.3%). Incidences of hypertension (7.4%), preeclampsia (0.6%) and pregnant women with previous abortions (16.5%) were found. The mean glycemic profile showed HbA1C (5.26), estimated glucose (104.30) and FPG fasting (86.38), in the first hour (144.46) and in the second hour (64.15). Treatment with diet and exercise (38.3%), metformin (40%), insulin (14.5%) and combined (7.8%). Regarding newborns, the mean weight was (3.123.46) and the GA at birth (37.46). Regarding the percentile, AGP (71.8%), SGP (28.2%) and no cases of LGP. In terms of adverse outcomes, hyperbilirubinemia was evidenced in (25.6%), prematurity (10.9%) and fetal hypoglycemia (9.9%). Conclusion: Pregnant women diagnosed with GDM had a higher GA at diagnosis in the third trimester and more cesarean sections. Among the adverse outcomes related to newborns, there were more cases of hyperbilirubinemia, prematurity and fetal hypoglycemia.

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Método de captura y recaptura: una experiencia de su aplicación para determinar la incidencia de diabetes gestacional

Pagotto

Giunta

Pochettino

et al. 2022

Rev. Hosp. Ital. B.Aires

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RESUMENLos métodos de captura y recaptura (MCR) se emplean en la estimación de poblaciones mediante la utilización de diferentes fuentes de datos, disponibles e incompletas, que registran por separado un mismo evento. En esta metodología, las fuentes son utilizadas para extrapolar el número de individuos no registrados, usando la información recopilada sobre los individuos sí registrados. Este artículo describe todos los pasos de su aplicación práctica, a partir de un ejemplo de estimación de la incidencia de diabetes gestacional en una institución, a partir de cinco fuentes documentales.Palabras clave: tamaño de la muestra, diabetes gestacional, captura-recaptura, recolección de datos, diseño de investigación.

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Use of a clinical‐laboratory score to guide treatment of gestational diabetes

Cited by 3 publications

References 23 publications

Factors Associated with the Need for Insulin as a Complementary Treatment to Metformin in Gestational Diabetes Mellitus

Factors Associated with the Need for Insulin as a Complementary Treatment to Metformin in Gestational Diabetes Mellitus

Profile of the pregnant woman with Gestational Diabetes Mellitus in a private hospital in Joinville, Brazil

Método de captura y recaptura: una experiencia de su aplicación para determinar la incidencia de diabetes gestacional

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