Universal V/S Selective Screening and Single Step GTT as Screening Procedure for GDM (Gestational Diabetes Mellitus)
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 1
Abstract
Objective: To study reliability of the one step procedure as screening and diagnostic procedure for gestational diabetes mellitus and comparison of selective screening with universal screening for detection of more cases. Method: A prospective study was conducted on randomly selected 500 female in 2nd and 3rd trimester were included. They underwent GCT (glucose challenge test) with 50 gm load which was followed by GTT (Glucose tolerance test) with 75 gm recommended by WHO after 72 hrs of GCT irrespective of result of GCT. Results: Out of 500 pregnant women 27 (5.4%) women are diagnosed as GDM. Women with gravid ≥3, age >25 yr and with positive family h/o of diabetes had high prevalence of GDM. Out of all GDM patients 18.5% women not had risk factors associated. PIH/preeclampsia and recurrent infections are most common antenatal complication seen in GDM group. Conclusion: From present study we concluded that universal screening is necessary for GDM and for that single step GTT should be performed which is more simple, feasible and economical and diagnoses more number of cases.
Authors and Affiliations
Sonam Kunjam, Meenakshi Samariya, Kavita Tanwar
Keywords
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- EP ID EP529659
- DOI 10.21276/ijmrp.2018.4.1.036
- Views 94
- Downloads 0
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