CIDCA   05380
CENTRO DE INVESTIGACION Y DESARROLLO EN CRIOTECNOLOGIA DE ALIMENTOS
Unidad Ejecutora - UE
artículos
Título:
Universal versus selective screening for the detection, control and prognosis of gestational diabetes mellitus in Argentina
Autor/es:
ANTONIO DESMOND MCCARTHY; RENATA CURCIARELLO; NICOLÁS CASTIGLIONE; MARINA FERNÁNDEZ TAYELDÍN; DIEGO COSTA; VERÓNICA ARNOL; ANABELLA PROSPITTI; ANALÍA ALIANO; DANIELA ARCHUBY; AUGUSTO GRAIEB; MARÍA JOSÉ TORRES; SUSANA B. ETCHEVERRY; MARÍA C. APESTEGUÍA
Revista:
ACTA DIABETOLOGICA.
Editorial:
Springer
Referencias:
Año: 2010 vol. 47 p. 97 - 103
ISSN:
0940-5429
Resumen:
In all, 1,702 unselected pregnant women fromthe city of La Plata were tested for gestational diabetesmellitus (GDM) and evaluated to determine GDM prevalenceand risk factors. In women with GDM, we evaluatedcompliance with guidelines for GDM management, andperinatal complications attributable to GDM. GDM prevalencewas 5.8%, and its risk factors were pre-gestationalobesity, previous hyperglycaemia, age[30 years, previousGDM (and its surrogate markers). In primi-gravida(PG) subjects, GDM was equally prevalent in the presence(4.2%) or absence (4.0%) of risk factors. In multi-gravida(MG) women, although risk factors doubled the prevalenceof GDM (8.6%), in the absence of risk factors GDMprevalence was similar to that of PG women (3.9%). Halfof all women with GDM received inadequate post-diagnosisobstetric control, and this induced a fourfold increasein infant perinatal complications. In conclusion, all nonhyperglycaemic24–28-week pregnant women should betested for GDM, although particular attention must be paidto MG women with risk factors.