Random Blood Glucose Measurement at Antenatal Booking to Screen for Overt Diabetes in Pregnancy: A retrospective study  

Oleh:

Church, David ; Halsall, David ; Meek, Claire ; Parker, Richard A.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Diabetes Care vol. 34 no. 10 (Oct. 2011), page 2217-2219 .
Topik: DIABETES; Random Venous Blood Glucose; Overt Diabetes In Pregnancy

Ketersediaan

Perpustakaan FK Nomor Panggil: D05.K Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

OBJECTIVE To assess random venous blood glucose (RBG) measurement at antenatal booking to detect “overt diabetes in pregnancy” (ODIP). RESEARCH DESIGN AND METHODS A retrospective analysis of regional hospital obstetric data from 2004–2008 was performed. Universal RBG screening was included at booking. Oral glucose tolerance test (OGTT) was administered if RBG >7.0 mmol/L or other indications, e.g., if a 50-g glucose challenge test was >7.7 mmol/L at 26–28 weeks. ODIP was based upon World Health Organization plasma glucose criteria for diabetes. RESULTS RBG data were collected from 17,852/26,369 (67.7%) pregnancies around the initial antenatal visit; 3,007 women had an OGTT. The receiver operator curve area under the curve for RBG to detect ODIP was 0.86 (0.80–0.92) (assuming women without an OGTT did not have ODIP). CONCLUSIONS RBG at booking may provide a sufficiently sensitive screening tool for the detection of ODIP. We recommend further studies and comparison with fasting glucose and HbA1c.

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