Articles producció científica> Medicina i Cirurgia

Fasting Glucose for the Diagnosis of Gestational Diabetes Mellitus (GDM) during the COVID-19 Pandemic

  • Identification data

    Identifier: imarina:9280978
  • Authors:

    González González NL
    González Dávila E
    Bugatto F
    Vega-Guedes B
    Pintado P
    Tascón L
    Villalba Martin N
    Plasencia W
    Megía A
  • Others:

    Author, as appears in the article.: González González NL; González Dávila E; Bugatto F; Vega-Guedes B; Pintado P; Tascón L; Villalba Martin N; Plasencia W; Megía A
    Department: Medicina i Cirurgia
    URV's Author/s: Megía Colet, Ana
    Keywords: Pregnancy Perinatal outcomes Gestational hyperglycemia Gestational diabetes First trimester Fasting glucose Early gestational diabetes Diagnosis Covid-19 pandemic recommendations perinatal outcomes management hyperglycemia gestational hyperglycemia gestational diabetes first trimester fasting glucose early gestational diabetes diagnosis classification association
    Abstract: BACKGROUND: During the COVID-19 pandemic, different non-validated tests were proposed to simplify the diagnosis of gestational diabetes (GDM). AIM: To analyse the effects of replacing the two-step approach for Early-GDM and GDM diagnosis, with a fasting plasma glucose test. MATERIAL AND METHODS: This is a cohort study consisting of 3200 pregnant women: 400 with Early-GDM, 800 with GDM and 2000 with Non-GDM diagnosed using the two-step approach. Using fasting plasma glucose for Early-GDM and GDM diagnosis, according to the recommendations of Spain, Australia, Italy and the UK during the pandemic, the rates of missed and new Early-GDM and GDM were calculated and perinatal outcomes were analysed. RESULTS: Using fasting plasma glucose in the first trimester >100 mg/dL for Early-GDM diagnosis, the rates of post-COVID missed and new Early-GDM were 79.5% and 3.2%, respectively. Using fasting plasma glucose at 24-28 weeks <84 or >92, 95 or 100 mg/dL for GDM diagnosis, the rates of missed GDM were 50.4%, 78%, 82.6% and 92.4%, respectively, and 8.6%, 5.6% and 2.3% women with Non-GDM were diagnosed with new GDM. CONCLUSION: Fasting plasma glucose is not a good test for the diagnosis of GDM either in the first trimester or at 24-28 weeks.
    Thematic Areas: Zootecnia / recursos pesqueiros Saúde coletiva Química Psicología Planejamento urbano e regional / demografia Nutrition and dietetics Nutrition & dietetics Nutrição Medicina veterinaria Medicina iii Medicina ii Medicina i Interdisciplinar Food science Farmacia Engenharias iv Engenharias ii Enfermagem Educação física Economia Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Ciências agrárias i Ciência de alimentos Biotecnología
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: ana.megia@urv.cat
    Author identifier: 0000-0002-5101-9452
    Record's date: 2023-02-19
    Papper version: info:eu-repo/semantics/publishedVersion
    Link to the original source: https://www.mdpi.com/2072-6643/14/16/3432
    Licence document URL: http://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: Nutrients. 14 (16):
    APA: González González NL; González Dávila E; Bugatto F; Vega-Guedes B; Pintado P; Tascón L; Villalba Martin N; Plasencia W; Megía A (2022). Fasting Glucose for the Diagnosis of Gestational Diabetes Mellitus (GDM) during the COVID-19 Pandemic. Nutrients, 14(16), -. DOI: 10.3390/nu14163432
    Article's DOI: 10.3390/nu14163432
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2022
    Publication Type: Journal Publications
  • Keywords:

    Food Science,Nutrition & Dietetics,Nutrition and Dietetics
    Pregnancy
    Perinatal outcomes
    Gestational hyperglycemia
    Gestational diabetes
    First trimester
    Fasting glucose
    Early gestational diabetes
    Diagnosis
    Covid-19 pandemic
    recommendations
    perinatal outcomes
    management
    hyperglycemia
    gestational hyperglycemia
    gestational diabetes
    first trimester
    fasting glucose
    early gestational diabetes
    diagnosis
    classification
    association
    Zootecnia / recursos pesqueiros
    Saúde coletiva
    Química
    Psicología
    Planejamento urbano e regional / demografia
    Nutrition and dietetics
    Nutrition & dietetics
    Nutrição
    Medicina veterinaria
    Medicina iii
    Medicina ii
    Medicina i
    Interdisciplinar
    Food science
    Farmacia
    Engenharias iv
    Engenharias ii
    Enfermagem
    Educação física
    Economia
    Ciências biológicas iii
    Ciências biológicas ii
    Ciências biológicas i
    Ciências agrárias i
    Ciência de alimentos
    Biotecnología
  • Documents:

  • Cerca a google

    Search to google scholar