Gestasyonel diabetes mellitus: Herkesi tarayalım mı?
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Tarih
2004
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info:eu-repo/semantics/openAccess
Özet
Amaç: Gestasyonel diabetes mellitus taramasında 50 g oral glukoz testinin gerekliliğinin araştırılması. Çalışmanın Yapıldığı Yer: Kırıkkale Üniversitesi Tıp Fakültesi Kadın Hastalıkları ve Doğum Anabilim Dalı. Materyal ve Method: Çalışmaya 425 gebe dahil edildi. Bunların 274'Une 50 g oral glukoz tarama testi (OGL), riskli olan 149'una ise 100 g oral glukoz tolerans testi (OGTT) uygulandı. Bulgular: Taranan 274 gebenin 30'unda ( % 10,9) OGL sonucu 140 mg/dl ve üzerinde bulundu. Bunlardan hiç birine uygulanan OGTT'ler ile GDM tanısı konmadı. Risk taşıyan 149 gebeye, OGTT uygulandı. Bu gebelerin 9 (%6) tanesine GDM tanısı kondu. Bizim popülasyonumuzdaGDMinsidansı% 2 olarak tespit edildi. Sonuçlar: Bu çalışma GDM için tüm gebelerin taranmasının gerekli olmadığını göstermektedir. Biz tam saha taraması yerine seçilmiş vakaların taranmasını öneriyoruz.
Objective: To evaluate the necessitate of the 50-g glucose challenge test as a screening test for gestational diabetes mellitus. Institution: Department of Obstetrics and Gynecology, Kırıkkale University Faculty of Medicine. Material and Methods: Four hundred and twenty five adult pregnant women were included in the study. Two hundered and seventy four of them screened with a 1 -hour, 50 g oral glucose challenge test (GCT). Three-hour, 100 g oral glucose tolerance tests (OGTT) were performed on risk positive 149 pregnant women. Results : Of the 274 pregnancies screened, 30 (10.9%) had an initial oral GCT result of > or 140 mg/dl. Of those tested, none of them were diagnosed with GDM on the basis of greater > or 2 criteria. One hundered and fourty nine risk positive pregnant women had initially tested with OGTT . Nine (6 %) of them were diagnosed with GDM. The incidence of GDM in our population was 2%. Conclusions: . This study demonstrates that the universal screening for GDM is not necessary in all pregnant population. We recommend selective screening instead of universal screening.
Objective: To evaluate the necessitate of the 50-g glucose challenge test as a screening test for gestational diabetes mellitus. Institution: Department of Obstetrics and Gynecology, Kırıkkale University Faculty of Medicine. Material and Methods: Four hundred and twenty five adult pregnant women were included in the study. Two hundered and seventy four of them screened with a 1 -hour, 50 g oral glucose challenge test (GCT). Three-hour, 100 g oral glucose tolerance tests (OGTT) were performed on risk positive 149 pregnant women. Results : Of the 274 pregnancies screened, 30 (10.9%) had an initial oral GCT result of > or 140 mg/dl. Of those tested, none of them were diagnosed with GDM on the basis of greater > or 2 criteria. One hundered and fourty nine risk positive pregnant women had initially tested with OGTT . Nine (6 %) of them were diagnosed with GDM. The incidence of GDM in our population was 2%. Conclusions: . This study demonstrates that the universal screening for GDM is not necessary in all pregnant population. We recommend selective screening instead of universal screening.
Açıklama
Anahtar Kelimeler
Kadın Hastalıkları ve Doğum
Kaynak
Kadın Doğum Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
2
Sayı
3
Künye
Bayram, M., Soyer, C., Özer, G., Sevinç, F. C. (2004). Gestasyonel diabetes mellitus: Herkesi tarayalım mı?. Kadın Doğum Dergisi, 2(3), 184 - 186.