Abstract

Background: the prevalence of diabetes mellitus is increasing worldwide and more in developing countries including India. The increasing prevalence in developing countries is related to increasing urbanization, decreasing levels of physical activity,changes in dietary patterns and increasing prevalence of obesity. Objective: this prospective study was carried out to determine the prevalence of GDM in women attending antenatal clinic in ESI medical college and hospital, Bangalore. Methods: this study was conducted in pregnant women attending antenatal clinic between 24 to 28 weeks in ESI medical college and hospital;, Bangalore. Detailed history like age,gravidity,period of gestation, associated risk factors and obstetric examination, were noted. After informed consent, all participating women were given 75 g of oral glucose, OGTT T test was done as per DIPSI guidelines. Results: a total of 300 women participated in the study and GDM was diagnosed in 46 patients (15.3%)... Most women were between age 25 -30 years(n=32,69.5%),,followed by 30-35 years(n=16,34.7%) when compared to 20- 25 years(n=14,30.4%).women between 35-40 years were 7(15.2%) and 16 -20 years were 3(6.5%). GDM was diagnosed in 24 multigravida (52.1%) when compared to primigravida (n=19, 41.3%) Mean age was 27.6 years.mean BMI was 25.5.the prevalence of GDM was more in the age group of 25-30 years(n=32, 69.5%).the prevalence of GDM was more in upper middle class category(n=22,47.8%) followed by lower middle class(n=9,19.5%) GDM prevalence was more in intermediate/high /middle school group(n= 28,60.8%).positive family history of diabetes was found in (n=16,34.7%). Interpretation: The prevalence of GDM was found to be 15.3% at ESI medical college and hospital, Bangalore.GDM being the most common metabolic disorder, early screening and diagnosis through appropriate screening method is very important to prevent complications.

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