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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 19 - 26 (8page)
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ObjectiveWe evaluated the effect on treatment using the new International Association of Diabetes and Pregnancy StudyGroup (IADPSG) criteria for gestational diabetes mellitus (GDM) diagnosis. MethodsSingleton pregnant women whose plasma glucose levels were ≥140 mg/dL on the 50 g glucose challenge test(GCT) underwent 75 g oral glucose tolerance for GDM diagnosis. During the first half of the study period, GDMwas diagnosed using 2 abnormal values by Carpenter-Coustan (C-C) criteria. In the second half of the study period,1 or more abnormal values by IADPSG criteria were used for GDM diagnosis. Pregnant women were classified into5 groups: normal 50 g GCT, positive 50 g GCT but non-GDM, GDM by IADPSG criteria and non-treated, GDM byIADPSG criteria and treated, GDM by C-C criteria and treated. The odds ratios (ORs) for large for gestational age (LGA)and macrosomia were analyzed. ResultsOf the 2,678 patients, the frequency of GDM diagnosed by C-C and IADPSG criteria was 2.6% and 7.5%. ORs (95%confidence intervals [CIs]) for LGA and macrosomia in the group with GDM by IADPSG criteria and non-treated were2.81 (95% CI, 1.47–5.38) and 2.84 (95% CI, 1.08–7.47). The risk of LGA and macrosomia did not increase in the groupwith GDM by IADPSG criteria and treated. ConclusionThe risk of LGA and macrosomia for mild GDM diagnosed solely by IADPSG criteria depends on whether they aretreated or not. Treatment of GDM based on IADPSG criteria reduces the risk of excessive fetal growth. Trial RegistrationClinical Research Information Service Identifier: KCT0000776
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참고문헌 (22)
참고문헌 신청
O’Sullivan JB / 1964 / Criteria for the oral glucose tolerance test in pregnancy / Diabetes 13:278~285
Agarwal MM / 2015 / Gestational diabetes mellitus : an update on the current international diagnostic criteria / World J Diabetes 6:782~791
HAPO Study Cooperative Research Group / 2008 / Hyperglycemia and adverse pregnancy outcomes / N Engl J Med 358:1991~2002
International Association of Diabetes and Pregnancy Study Groups Consensus Panel / 2010 / International association of diabetes and pregnancy study groups recommendations on the diagnosis and classification of hyperglycemia in pregnancy / Diabetes Care 33:676~682
2014 / Diagnostic criteria and classification of hyperglycaemia first detected in pregnancy: a World Health Organization Guideline / Diabetes Res Clin Pract 103:341~363
Agarwal MM / 2015 / Gestational diabetes mellitus : an update on the current international diagnostic criteria / World J Diabetes 6:782~791
HAPO Study Cooperative Research Group / 2008 / Hyperglycemia and adverse pregnancy outcomes / N Engl J Med 358:1991~2002
International Association of Diabetes and Pregnancy Study Groups Consensus Panel / 2010 / International association of diabetes and pregnancy study groups recommendations on the diagnosis and classification of hyperglycemia in pregnancy / Diabetes Care 33:676~682
2014 / Diagnostic criteria and classification of hyperglycaemia first detected in pregnancy: a World Health Organization Guideline / Diabetes Res Clin Pract 103:341~363
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