Primordial prevention: maternal health and diabetes

Autor: Vijayam Balaji, Veerasamy Seshiah
Rok vydání: 2013
Předmět:
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