CROSS SECTIONAL ANALYSIS OF RATE OF PRESENTATION OF PATIENTS WITH GESTATIONAL DIABETES

Main Author: Nasreen Noor1* , Atif Ahmed2 , Muhammad Suhail Baig3 , Muhammad Iqbal Shah4 , Hamid Nawaz Ali5 , Aatir H. Rajput6 and Muhammad Muneeb
Format: Article Journal
Terbitan: , 2017
Subjects:
Online Access: https://zenodo.org/record/830519
Daftar Isi:
  • Background: Gestational diabetes mellitus (GDM) is defined as any degree of glucose intolerance with onset or first recognition during pregnancy. The definition applies whether insulin or only diet modification is used for treatment and whether or not the condition persists after pregnancy. It does not exclude the possibility that unrecognized glucose intolerance may have antedated or begun concomitantly with the pregnancy. Objective: Approximately 7% of all pregnancies are complicated by GDM, resulting in more than 200,000 cases annually. The prevalence may range from 1 to 14% of all pregnancies, depending on the population studied and the diagnostic tests employed. This study hopes to investigate the rate of presentation of patients with gestational diabetes at Liaquat University Hospital, Hyderabad. Methodology: This cross-sectional analysis was conducted jointly by the department of obstetrics and gynecology OBGYN and the department of medicine (unit – II) at a tertiary care hospital (Liaquat University Hospital, Hyderabad) from January 2017 to June 2017. Medical records of pre-diagnosed patients who fulfilled inclusion criteria were scrutinized and data was entered in a structured questionnaire. Data was analyzed using SPSS v. 16.0 and MS. Excel 2016. Results: GDM was identified in 140 pregnancies according to the diagnostic plasma glucose thresholds. An additional 220 pregnant women were found to be in the high risk groups but did not test positive for gestational diabetes. A greater proportion of women who fell in the high risk group and also the group that tested positive belonged to urban region and fell within the age bracket of 35-45 years. Conclusion: A significant number of women presenting at the study setting were at risk of developing GDM and a worrisome proportion did actually have GDM. Most at risk were middle aged women from the urban areas. Recommendations: Further research needs to be conducted on a larger sample space to explore the matter in-depth. Steps too need to be taken to educate pregnant women regarding the condition. Key words: Diabetes, Gestational Diabetes, Pregnancy.