Treatment of gestational diabetes diagnosed by the IADPSG criteria decreases excessive fetal growth
4
조회
0
다운로드
6
인용
0
참고문헌
키워드
초록
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
Abstract
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
참고문헌 (22)
- O’Sullivan JB, "Criteria for the oral glucose tolerance test in pregnancy", Diabetes, 13, pp.278~285 (1964)
- Agarwal MM, "Gestational diabetes mellitus : an update on the current international diagnostic criteria", World J Diabetes, 6, pp.782~791 (2015)
- HAPO Study Cooperative Research Group, "Hyperglycemia and adverse pregnancy outcomes", N Engl J Med, 358, pp.1991~2002 (2008)
- International Association of Diabetes and Pregnancy Study Groups Consensus Panel, "International association of diabetes and pregnancy study groups recommendations on the diagnosis and classification of hyperglycemia in pregnancy", Diabetes Care, 33, pp.676~682 (2010)
- "Diagnostic criteria and classification of hyperglycaemia first detected in pregnancy: a World Health Organization Guideline", Diabetes Res Clin Pract, 103, pp.341~363 (2014)
- Basevi V, "Comment on : American Diabetes Association. Standards of medical care in diabetes--2011. Diabetes Care 2011;34(Suppl. 1) : S11-S61", Diabetes Care, 34, pp.e53~ (2011)
- Committee on Practice Bulletins--Obstetrics, "Practice Bulletin No. 137 : Gestational diabetes mellitus", Obstet Gynecol, 122, pp.406~416 (2013)
- Kgosidialwa O, "Treatment with diet and exercise for women with gestational diabetes mellitus diagnosed using IADPSG criteria", J Clin Endocrinol Metab, 100, pp.4629~4636 (2015)
- Bogdanet D, "ATLANTIC DIP: insulin therapy for women with IADPSG-diagnosed gestational diabetes mellitus. Does it work?", J Clin Endocrinol Metab, 102, pp.849~857 (2017)
- Wu ET, "Diagnosis of more gestational diabetes lead to better pregnancy outcomes : comparing the International Association of the Diabetes and Pregnancy Study Group criteria, and the Carpenter and Coustan criteria", J Diabetes Investig, 7, pp.121~126 (2016)
- Maryns AS, "Maternal and neonatal outcomes in a treated versus non-treated cohort of women with gestational diabetes mellitus according to the HAPO 5 and 4 criteria", Facts Views Vis ObGyn, 9, pp.133~140 (2017)
- Carpenter MW, "Criteria for screening tests for gestational diabetes", Am J Obstet Gynecol, 144, pp.768~773 (1982)
- 이정주, "한국의 성별, 태아수별, 출산수별 임신주수에 따른 출생체중", Clinical and Experimental Pediatrics, 50(8), pp.732~739 (2007), 대한소아청소년과학회
- Crowther CA, "Effect of treatment of gestational diabetes mellitus on pregnancy outcomes", N Engl J Med, 352, pp.2477~2486 (2005)
- Landon MB, "A multicenter, randomized trial of treatment for mild gestational diabetes", N Engl J Med, 361, pp.1339~1348 (2009)
- Ethridge JK Jr, "Perinatal outcomes associated with the diagnosis of gestational diabetes made by the international association of the diabetes and pregnancy study groups criteria", Obstet Gynecol, 124, pp.571~578 (2014)
- Duran A, "Introduction of IADPSG criteria for the screening and diagnosis of gestational diabetes mellitus results in improved pregnancy outcomes at a lower cost in a large cohort of pregnant women : the St. Carlos Gestational Diabetes Study", Diabetes Care, 37, pp.2442~2450 (2014)
- Wei Y, "International Association of Diabetes and Pregnancy Study Group criteria is suitable for gestational diabetes mellitus diagnosis: further evidence from China", Chin Med J(Engl), 127, pp.3553~3556 (2014)
- Feldman RK, "Gestational diabetes screening : the International Association of the Diabetes and Pregnancy Study Groups compared with carpentercoustan screening", Obstet Gynecol, 127, pp.10~17 (2016)
- Werner EF, "Screening for gestational diabetes mellitus : are the criteria proposed by the international association of the Diabetes and Pregnancy Study Groups cost-effective?", Diabetes Care, 35, pp.529~535 (2012)
- 이정한, "한국인에서 임신성 당뇨병의 진단적 100 gm경구 당 부하 검사의 진단 기준의 비교", Obstetrics & Gynecology Science, 48(11), pp.2570~2577 (2005), 대한산부인과학회
- 양성천, "임신성 당뇨 진단 기준의 고찰", Obstetrics & Gynecology Science, 45(11), pp.6~6 (2002), 대한산부인과학회