The Utility of Lower Glycemic Targets for Treating Gestational Diabetes: A Retrospective Study
المؤلفون المشاركون
Hagen, Grace
Brown, Crystal
Dietrich, Jordan
Gibbs, Charles
Lee, Gene T.
المصدر
العدد
المجلد 2019، العدد 2019 (31 ديسمبر/كانون الأول 2019)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2019-12-05
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Objective.
In vivo study of glucose homeostasis in pregnancy suggests normal glucose levels are lower than current glycemic targets used in gestational diabetes.
After the HAPO study results, our institution began using glycemic targets of fasting 85 mg/dL and 2-hour postprandial of 110 mg/dL.
We reviewed our results.
Methods.
A retrospective cohort of GDM patients that delivered at KUMC from January 2007 to May 2017 was reviewed.
All patients were diagnosed with the 2-step Carpenter-Coustan thresholds.
High targets were compared with low targets.
The primary outcome investigated was birthweight>90% (large for gestational age, LGA).
Results.
604 patients were studied, and 34% were treated with low glycemic targets.
Our unadjusted results showed that the low-target group had a lower incidence of LGA infants (24.0 vs.
31.8%), higher incidence of neonatal hypoglycemia (20.7 vs.
11.6%), and inductions (39.4 vs.
20.5%).
After adjustment for demographic variables, only a higher risk of inductions remained (aOR 2.54 (1.44, 4.49)).
Conclusion.
Lower glycemic targets did not produce large reductions in fetal overgrowth, but they were associated with a higher rate of inductions.
As there were no observed differences in maternal or neonatal outcomes otherwise, aiming for lower glycemic targets in GDM is likely not cost-effective.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Hagen, Grace& Brown, Crystal& Dietrich, Jordan& Gibbs, Charles& Lee, Gene T.. 2019. The Utility of Lower Glycemic Targets for Treating Gestational Diabetes: A Retrospective Study. Journal of Diabetes Research،Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1173122
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Hagen, Grace…[et al.]. The Utility of Lower Glycemic Targets for Treating Gestational Diabetes: A Retrospective Study. Journal of Diabetes Research No. 2019 (2019), pp.1-6.
https://search.emarefa.net/detail/BIM-1173122
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Hagen, Grace& Brown, Crystal& Dietrich, Jordan& Gibbs, Charles& Lee, Gene T.. The Utility of Lower Glycemic Targets for Treating Gestational Diabetes: A Retrospective Study. Journal of Diabetes Research. 2019. Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1173122
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1173122
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر