TY - JOUR
T1 - Screening for gestational diabetes in a multi-ethnic population
AU - Hughes, P. F.
AU - Agarwal, M.
AU - Newman, P.
AU - Morrison, J.
N1 - Funding Information:
The authors wish to gratefully acknowledge the technical help provided by L. Page and L. Thomas in sampleh andling and analysis together with data collection. This work was financially supported by a grant from the Research Committee of the Faculty of Medicine and Health Sciences, UAE University.
PY - 1995/4
Y1 - 1995/4
N2 - A multi-ethnic population was screened for gestational diabetes mellitus (GDM) using a venous plasma glucose estimation, 1 h following a standard 50 g glucose load. A significant difference in the ethnic distribution of screenpositivity was found. Amongst the screen-positive group the odds ratio (OR) for special care baby facility (SCBU) admission and birthweight >3999 g were both increased (OR = 1.87 and 1.99). Only limited diagnostic testing by a glucose tolerance test (GTT) could be achieved for the screen-positive population. For patients with confirmed GDM (two or more abnormal values on a GTT) the OR for SCBU admission was further increased to 5.1, while the OR for increased birthweight was only 1.34. Clinical attention should be directed towards outcome assessment in order to properly evaluate the nature of and place for screening for GDM in multi-ethnic populations.
AB - A multi-ethnic population was screened for gestational diabetes mellitus (GDM) using a venous plasma glucose estimation, 1 h following a standard 50 g glucose load. A significant difference in the ethnic distribution of screenpositivity was found. Amongst the screen-positive group the odds ratio (OR) for special care baby facility (SCBU) admission and birthweight >3999 g were both increased (OR = 1.87 and 1.99). Only limited diagnostic testing by a glucose tolerance test (GTT) could be achieved for the screen-positive population. For patients with confirmed GDM (two or more abnormal values on a GTT) the OR for SCBU admission was further increased to 5.1, while the OR for increased birthweight was only 1.34. Clinical attention should be directed towards outcome assessment in order to properly evaluate the nature of and place for screening for GDM in multi-ethnic populations.
KW - Adverse pregnancy outcome
KW - Gestational diabetes mellitus
KW - Multi-ethnic population
KW - Screening
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U2 - 10.1016/0168-8227(95)01051-E
DO - 10.1016/0168-8227(95)01051-E
M3 - Article
C2 - 7587916
AN - SCOPUS:0029119925
SN - 0168-8227
VL - 28
SP - 73
EP - 78
JO - Diabetes Research and Clinical Practice
JF - Diabetes Research and Clinical Practice
IS - 1
ER -