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Risk Factors for the Requirement of Antenatal Insulin Treatment in Gestational Diabetes Mellitus
Joint Authors
Ogawa, Daisuke
Watanabe, Mayu
Katayama, Akihiro
Kagawa, Hidetoshi
Wada, Jun
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-11-23
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Poor maternal glycemic control increases maternal and fetal risk for adverse outcomes, and strict management of gestational diabetes mellitus (GDM) is recommended to prevent neonatal and maternal complications.
However, risk factors for the requirement of antenatal insulin treatment (AIT) are not well-investigated in the pregnant women with GDM.
We enrolled 37 pregnant women with GDM and investigated the risk for AIT by comparing the patients with AIT (AIT group; n=10) and without insulin therapy (Diet group; n=27).
The 1-h and 2-h plasma glucose levels and the number of abnormal values in 75 g OGTT were significantly higher in AIT group compared with Diet group.
By logistic regression analysis, plasma glucose level at 1-h was significant predictor for AIT and the odds ratios were 1.115 (1.004–1.239) using forward selection method and 1.192 (1.006–1.413) using backward elimination method.
There were no significant differences in obstetrical outcomes and neonatal complications.
1-h plasma glucose levels in 75 g OGTT are useful parameters in predicting the requirement for AIT in GDM.
Both maternal and neonatal complications are comparable in GDM patients with and without insulin therapy.
American Psychological Association (APA)
Watanabe, Mayu& Katayama, Akihiro& Kagawa, Hidetoshi& Ogawa, Daisuke& Wada, Jun. 2016. Risk Factors for the Requirement of Antenatal Insulin Treatment in Gestational Diabetes Mellitus. Journal of Diabetes Research،Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1108334
Modern Language Association (MLA)
Watanabe, Mayu…[et al.]. Risk Factors for the Requirement of Antenatal Insulin Treatment in Gestational Diabetes Mellitus. Journal of Diabetes Research No. 2016 (2016), pp.1-6.
https://search.emarefa.net/detail/BIM-1108334
American Medical Association (AMA)
Watanabe, Mayu& Katayama, Akihiro& Kagawa, Hidetoshi& Ogawa, Daisuke& Wada, Jun. Risk Factors for the Requirement of Antenatal Insulin Treatment in Gestational Diabetes Mellitus. Journal of Diabetes Research. 2016. Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1108334
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1108334