Can 50-gram glucose challenge test be important for the subsequent pregnancy?. Perinatoloji Dergisi 2011;19(2):84-85
- Başkent University Faculty of Medicine Department of Obstetrics and Gynecology Adana TR
Cantekin İskender, Başkent University Faculty of Medicine Department of Obstetrics and Gynecology Adana TR,
Çıkar çakışması bulunmadığı belirtilmiştir.
aim was to examine risk factors associated with gestational diabetes (GDM) in women, who did not have GDM in their previous pregnancy.
Metarials and methods
In this retrospective cohort study, we reviewed the charts of all pregnant women, who had delivered both pregnancies between January 2000 and June 2010. Group 1 consisted of patients with gestational diabetes and group 2 served as controls.
There were 743 women, who underwent GDM screening using 50 g glucose challenge test (GCT). The recurrence of GDM was 42.1% in this group (16 out of 38). The remaining 705 patients were divided into the GDM group (n=38) and the control group (n=667). The 50-g GCT in the previous pregnancy (p=0.0001, 95% CI +0.01 to +0.002), age (p=0.009, 95% CI +0.001 to +0.009), and weight differences between the pregnancies at the first trimester (p=0.005, 95% CI +0.001 to +0.007) were independent parameters that were related to GDM.
The 50 g GCT results during the previous pregnancy was increased in the GDM group. It was also an independent risk factor for women without a history of GDM.