Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Original article / research
Year : 2018 | Month : June | Volume : 12 | Issue : 6 | Page : QC06 - QC09

Does Two Hour Post 75-Gram Sugar Test Levels for Diagnosis of Gestational Diabetes Correlate with Type of Intervention Required? An Audit from Tertiary Care Center of India

Namrata Kumar, Vinita Das, Anjoo Agarwal, Amita Pandey, Smriti Agrawal

1. Assistant Professor, Department of Obstetrics and Gynecology, King George's Medical University, Lucknow, Uttar Pradesh, India. 2. Professor and Head, Department of Obstetrics and Gynecology, King George's Medical University, Lucknow, Uttar Pradesh, India. 3. Professor, Department of Obstetrics and Gynecology, King George's Medical University, Lucknow, Uttar Pradesh, India. 4. Professor, Department of Obstetrics and Gynecology, King George's Medical University, Lucknow, Uttar Pradesh, India. 5. Associate Professor, Department of Obstetrics and Gynecology, King George's Medical University, Lucknow, Uttar Pradesh, India.

Correspondence Address :
Dr. Namrata Kumar
Department of Obstetrics and Gynecology, King Georges Medical University, Lucknow, Uttar Pradesh, India
E-mail : dr.nmrata@gmail.com

Abstract

Introduction: Gestational diabetes mellitus is carbohydrate intolerance of variable severity with onset or first recognition during pregnancy.

Aim: This study was planned to correlate the relation of 2 hours post 75-gram glucose test done irrespective of meals with type of intervention required and fetomaternal outcome.

Materials and Methods: This was a retrospective observational study conducted over a period of one year. All women registering in antenatal outpatient department in the university and who were diagnosed with gestational diabetes were enrolled in the study. Total number of women registered was 1922. Out of them, 211 had sugar level more than or equal to 140 mg/dL while 14 were having type 2 diabetes known prior to pregnancy. Data was analysed using Statistical Package for Social Sciences (SPSS) version 15.0. Frequency distribution, percentages and students t-test was used for statistical analysis.

Results: Occurrence of GDM came out be 10.9% in our antenatal population. With increasing sugar levels, insulin requirement increases. Three fourth of the women with Diabetes In Pregnancy Study group of India (DIPSI) sugar test levels between 140-160 mg/dL were well controlled with medical nutrition therapy itself. Our study showed that more than half of the women on MNT alone could be easily carried beyond 37 weeks. However, the number perhaps reduced significantly in patients who required insulin in addition to MNT. Intrauterine demise, preterm births and FGR are more common compared to foetal malformation and macrosomia in our population.

Conclusion: Timely diagnosis and intervention is of great help in improving both short and long term health benefits in mother and baby. Medical nutrition therapy is an easy intervention with definite benefits.

Keywords

Diabetes, DIPSI, Gestational diabetes, Pregnancy

How to cite this article :

Namrata Kumar, Vinita Das, Anjoo Agarwal, Amita Pandey, Smriti Agrawal. DOES TWO HOUR POST 75-GRAM SUGAR TEST LEVELS FOR DIAGNOSIS OF GESTATIONAL DIABETES CORRELATE WITH TYPE OF INTERVENTION REQUIRED? AN AUDIT FROM TERTIARY CARE CENTER OF INDIA. Journal of Clinical and Diagnostic Research [serial online] 2018 June [cited: 2018 Jun 23 ]; 12:QC06-QC09. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2018&month=June&volume=12&issue=6&page=QC06-QC09&id=11587

DOI and Others

DOI: 10.7860/JCDR/2018/35514.11587

Date of Submission: Jan 09, 2018
Date of Peer Review: Mar 10, 2018
Date of Acceptance: Apr 05, 2018
Date of Publishing: Jun 01, 2018

Financial OR OTHER COMPETING INTERESTS: None.

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