THE PREDICTIVE FACTORS FOR POSTPARTUM DIABETES MELLITUS AFTER GESTATIONAL DIABETES

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MAGHBOULI ZH.; ARDESHIR LARIJANI MOHAMMAD BAGHER; HOSSEINNEZHAD ARASH

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Journal Paper

Paper Information

Journal: Iranian Journal of Diabetes and Metabolism Year:2005 | Volume:4 | Issue:4 Page(s): 21-25

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Title

THE PREDICTIVE FACTORS FOR POSTPARTUM DIABETES MELLITUS AFTER GESTATIONAL DIABETES

Author(s)

MAGHBOULI ZH. | ARDESHIR LARIJANI MOHAMMAD BAGHER | HOSSEINNEZHAD ARASH | Issue Writer Certificate

Keywords

GDM

T2DM

PREDICTIVE FACTORS

Abstract

Background: Women with gestational diabetes mellitus (GDM) have a reported 3% to 65% risk of developing type 2 diabetes. This study aims to identify the factors in GDM patients which can predict the risk of postpartum impaired glucose tolerance (T2DM+IGT) and T2DM.Methods: A cohort study was conducted on 2416 pregnant women referred to five university hospital clinics. The universal screening was performed with a GCT- 50g and those with plasma glucose level ≥130mg/dl, were diagnosed as GDM if they had an impaired GTT-100g based on Carpenter and Coustan criteria. All pregnancies were followed until delivery. Available GDM patients underwent an OGTT-75gr within 6 to 12 weeks after delivery. Postpartum diabetes mellitus was diagnosed according to ADA criteria.Results: Such factors as FBS.105 during pregnancy, insulin requirement during pregnancy and BMI≥27kg/m2 before pregnancy were more prevalent in postpartum diabetic patients as compared with normal controls, significantly. Multivariate analysis suggested that gestational requirement for insulin and BMI≥27kg/m2 were the best predictors for developing postpartum diabetes. Also history of abortion, gestational requirement for insulin and BMI≥27kg/m2 were the best predictors for postpartum IGT. Conclusion: Women with GDM have a substantially increased risk of developing postpartum IGT or diabetes. High glucose levels, insulin requirement during pregnancy, history of abortion and BMI≥27kg/m2 are the best predictors for postpartum diabetes and IGT.

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APA: Copy

MAGHBOULI, ZH., ARDESHIR LARIJANI, MOHAMMAD BAGHER, & HOSSEINNEZHAD, ARASH. (2005). THE PREDICTIVE FACTORS FOR POSTPARTUM DIABETES MELLITUS AFTER GESTATIONAL DIABETES. JOURNAL OF DIABETES AND METABOLIC DISORDERS, 4(4), 21-25. SID. https://sid.ir/paper/530743/en

Vancouver: Copy

MAGHBOULI ZH., ARDESHIR LARIJANI MOHAMMAD BAGHER, HOSSEINNEZHAD ARASH. THE PREDICTIVE FACTORS FOR POSTPARTUM DIABETES MELLITUS AFTER GESTATIONAL DIABETES. JOURNAL OF DIABETES AND METABOLIC DISORDERS[Internet]. 2005;4(4):21-25. Available from: https://sid.ir/paper/530743/en

IEEE: Copy

ZH. MAGHBOULI, MOHAMMAD BAGHER ARDESHIR LARIJANI, and ARASH HOSSEINNEZHAD, “THE PREDICTIVE FACTORS FOR POSTPARTUM DIABETES MELLITUS AFTER GESTATIONAL DIABETES,” JOURNAL OF DIABETES AND METABOLIC DISORDERS, vol. 4, no. 4, pp. 21–25, 2005, [Online]. Available: https://sid.ir/paper/530743/en

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