2009, Number 4
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Med Sur 2009; 16 (4)
Escrutinio de diabetes gestacional: frecuencia de resultados anormales en el Hospital Médica Sur
Aceves-Capri AE, Pérez-Jáuregui J
Language: Spanish
References: 11
Page: 168-171
PDF size: 41.26 Kb.
ABSTRACT
Aim. To know the frequency of positive screening tests for gestational
diabetes in our laboratory using two cut off levels: ≥ 140 and ≥
130 mg/dL of glucose.
Background. The screening test for gestational
diabetes mellitus allows the early identification of women at risk
of having GDM. The screening takes place between 24-28 weeks of
gestation. The cut off level more widely accepted is ≥ 140 mg/dL
of glucose.
Material and methods We included all women who
had a screening test for gestational diabetes during January 1
st 2002
to March 31
st; 2008. We analyzed the frequency of positive screening
tests taking as cut off levels ≥ 140 mg/dL and ≥ 130 mg/dL of
glucose.
Results. 871 women had the screening test during the
given period of time. The frequency of abnormal results was 30.30%
for the ≥ 140 mg/dL cut off level, and 43.97% when using ≥ 130 mg/
dL.
Conclusions. The frequency of abnormal results of the screening
test for gestational diabetes in our served population is similar to
that described in the literature. Such frequency was higher when the
cut off level was diminished to ≥ 130 mg/dL of glucose. Our results
are a precedent to further studies about this subject in our medical
institution.
REFERENCES
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U.S. Preventive Services Task Force. Screening for gestational diabetes. Agency for Healthcare Research and Quality 2003; Pub. 03-516A, 1-4.
American Diabetes Association. Gestational diabetes mellitus. Diabetes Care 2004; 27(Suppl. 1): S88-S90.
Perucchini D, Fischer U, Spinas GA, Huch R, Huch A, et al. Using fasting plasma glucose concentrations to screen for gestational diabetes mellitus: prospective population based study. BMJ 1999; 319: 812-15.
Ferrera A, Quesenberry CP, Hedderson MM, Selby JV. Prevalence of gestational diabetes mellitus detected by the National Diabetes Data Group or the Carpenter and Coustan plasma glucose thresholds. Diabetes Care 2002; 25(9): 1625-9.
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Yogev Y, Langer O, Xenakis EMJ, Rosenn B. Glucose screening in Mexican-American women. Obstet Gynecol 2004; 103: 1241-5.
Langer O, Yogev Y, Most O, Xenakis EMJ. Gestational diabetes: the consecuences of not treating. Am J Obstet Gynecol 2005; 192: 989-97.
Sistema Nacional de Información en Salud (SINAIS) [sitio de Internet] Mortalidad. Información 2000-2005. Principales causas de mortalidad general. Disponible en: http:// www.salud.gob.mx/apps/htdocs/estadisticas/mortalidad/tabs/ m_005.xls
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