Author, as appears in the article.: Megia, A; Naef, S; Herranz, L; Serrat, N; Yanez, R E; Simon, I; Vendrell, J
Department: Medicina i Cirurgia
URV's Author/s: Megía Colet, Ana / Naf Cortés, Silvia Daniela / Simón Muela, María Inmaculada / Vendrell Ortega, Juan José
Keywords: Women Postpartum reclassification Mellitus Glucose Gestational diabetes Diagnosis
Abstract: Please cite this paper as: Megia A, Naf S, Herranz L, Serrat N, Yanez R, Simon I, Vendrell J. The usefulness of HbA1c in postpartum reclassification of gestational diabetes. BJOG 2012;119:891894. To investigate the role of HbA1c in postpartum reclassification of gestational diabetes (GDM) we studied 364 women with GDM attending the postpartum reclassification assessment of their glucose tolerance status. A 75-g oral glucose tolerance test (OGTT) was performed and HbA1c was determined. Diabetes was diagnosed in 12 (3.3%), 7 (1.9%) and 2 (0.6%) women according to the fasting plasma glucose (FPG) and/or the 2-hour OGTT, the FPG alone and HbA1c levels, respectively. The sensitivity and specificity for HbA1c to diagnose diabetes was 16.7% and 100%, respectively, for FPG and OGTT criteria. The combination of a cutoff value of 5.5% for HbA1c and FPG allowed us to identify 95.1% of women with any kind of glucose intolerance. We conclude that in the early postpartum period, the cutoff of 6.5% for HbA1c alone has low sensitivity for the diagnosis of diabetes compared with OGTT, but the combination of FPG and HbA1c at a lower cutoff value is very useful to identify women with any kind of glucose intolerance.
Thematic Areas: Saúde coletiva Obstetrics and gynecology Obstetrics & gynecology Nutrição Medicina iii Medicina ii Medicina i Interdisciplinar General medicine Engenharias iv Enfermagem Educação física Ciências biológicas ii Ciências biológicas i Biotecnología
licence for use: https://creativecommons.org/licenses/by/3.0/es/
Author's mail: silviadaniela.naf@urv.cat juanjose.vendrell@urv.cat ana.megia@urv.cat
Author identifier: 0000-0002-6994-6115 0000-0002-5101-9452
Record's date: 2024-01-27
Papper version: info:eu-repo/semantics/acceptedVersion
Link to the original source: https://obgyn.onlinelibrary.wiley.com/doi/10.1111/j.1471-0528.2012.03325.x
Papper original source: Bjog-An International Journal Of Obstetrics And Gynaecology. 119 (7): 891-894
APA: Megia, A; Naef, S; Herranz, L; Serrat, N; Yanez, R E; Simon, I; Vendrell, J (2012). The usefulness of HbA1c in postpartum reclassification of gestational diabetes.. Bjog-An International Journal Of Obstetrics And Gynaecology, 119(7), 891-894. DOI: 10.1111/j.1471-0528.2012.03325.x
Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
Article's DOI: 10.1111/j.1471-0528.2012.03325.x
Entity: Universitat Rovira i Virgili
Journal publication year: 2012
Publication Type: Journal Publications