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Screening for gestational diabetes mellitus in Korea
Author(s) -
Jang H.C.,
Cho N.H.,
Jung K.B.,
Oh K.S.,
Dooley S.L.,
Metzger B.E.
Publication year - 1995
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/0020-7292(95)02524-g
Subject(s) - medicine , gestational diabetes , body mass index , gestation , diabetes mellitus , obstetrics , glucose tolerance test , pregnancy , population , plasma glucose , screening test , pediatrics , endocrinology , insulin resistance , environmental health , genetics , biology
Objectives: To examine the effect of clinical characteristics on the prevalence of gestational diabetes mellitus (GDM) and to find the most effective screening program for GDM in Korea. Methods: Universal screening with a 50‐g glucose load at 24–28 weeks' gestation, as recommended by the Third International Workshop‐Conference on Gestational Diabetes Mellitus, was carried out among 3581 consecutive Korean women. Women with a 1‐h plasma glucose ≥ 130 mg/dl underwent a 3‐h 100‐g oral glucose tolerance test. The women's clinical characteristics and risk factors for GDM were recorded at the time of the screening test. Results: The overall prevalence of GDM in Korean women was 2.2 cases/100. Although only 1.3% of this population was obese, the prevalence of GDM was found to be significantly increased with increasing body mass index. When 135 mg/dl is used as a threshold, the number of women requiring a diagnostic test decreases to 19.5%, enabling identification of 98.8% of women with GDM. Conclusion: Universal screening using 135 mg/dl as a threshold and early screening of those with two or more risk factors represent the most effective paradigm for Korea.