Primordial prevention: maternal health and diabetes
Autor: | Vijayam Balaji, Veerasamy Seshiah |
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Rok vydání: | 2013 |
Předmět: |
medicine.medical_specialty
Pregnancy Meal Pediatrics endocrine system diseases medicine.diagnostic_test business.industry Type 2 Diabetes Mellitus medicine.disease Gestational diabetes Impaired glucose tolerance Endocrinology Internal medicine Diabetes mellitus medicine Blood test business Socioeconomic status |
Zdroj: | Diabetes Management. 3:333-341 |
ISSN: | 1758-1915 1758-1907 |
DOI: | 10.2217/dmt.13.24 |
Popis: | SUMMARY Women with gestational diabetes mellitus (GDM) are an ideal group for the primary prevention of diabetes as they are at increased risk of future diabetes, predominantly Type 2 diabetes mellitus, as are their children. This necessitates universal screening for GDM. The International Association of Diabetes and Pregnancy Study Group recommend three blood tests with 75-g oral glucose load, although one value is adequate to diagnose GDM, whereas WHO recommends that GDM is diagnosed if 2-h plasma glucose is ≥7.8 mmol/l with 75-g oral glucose load, similar to impaired glucose tolerance outside of pregnancy. The Diabetes In Pregnancy Study Group India procedure is a modified WHO procedure in that it requires one blood test performed at 2 h with 75 g of oral glucose administered in the fasting or nonfasting state without considering the time of the last meal. This procedure serves both as a screening and diagnostic tool. This economical and evidence-based procedure is suitable for all socioeconomic popula... |
Databáze: | OpenAIRE |
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