Screening strategy for gestational diabetes mellitus in a rural health setting in Kanpur (UP)
Journal Title: Indian Journal of Forensic and Community Medicine - Year 2018, Vol 5, Issue 3
Abstract
Introduction Gestational Diabetes Mellitus GDM is defined as carbohydrate intolerance with its onset or diagnosis in pregnancy Changing lifestyle and food habits are largely responsible for increasing incidence of Diabetes Mellitus especially in younger age groups The same increasing trend is being observed in gestational diabetes mellitus Treatment of GDM improves perinatal as well as maternal outcome Timely diagnosis of GDM may result in reduced maternal and neonatal morbidity The high risk pregnancies due to GDM contribute highly towards poor maternal and fetal outcome GDM is one of the major causes for increased incidence of Macrosomia and primary Cesarean section abnormal 75g GTT results show strong correlation with macrosomiaMaterials and Methods The sample size was calculated using the formula for comparing the means of two groups using the results of Boyd R Leigh B and Stuart P as preliminary estimate for the average difference in mean capillary and venous blood sugar A sample of 60 ANC cases has been studied as per inclusion and exclusion criteriaAim and Objectives Improvement in the diagnostic ability of the screening test for Diabetes Mellitus by comparing the commonly used method of using RBS with fasting 2hr GTTResult The mean age was found to be 2775 431 years Mean Gestational age of the cases was 2753 729 Weeks Mean OGTT fasting has been found to be statistically significantly higher than their RBS t 5731 p 0Conclusion A new strategy for using fasting OGTT as screening test has amongst ANC cases of rural population been suggestedKeywords Screening GDM RBS 2 hour OGTT
Authors and Affiliations
Ashok Kumar Maini, S P. Singh, Ajay Bhagoliwal, Amrita Dr
Keywords
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- EP ID EP486604
- DOI 10.18231/2394-6776.2018.0035
- Views 79
- Downloads 0
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