Open AccessResults Of Oral Glucose Tolerance Test Performed Following Birth Of A Baby With Birthweight Above 4,500 Grams
Author(s) -
Nielsen Gunnar L,
Nielsen Per H.
Publication year - 1990
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.3109/00016349009013326
Subject(s) - medicine , birth weight , pregnancy , obstetrics , overweight , glucose tolerance test , diabetes mellitus , population , offspring , endocrinology , obesity , insulin resistance , biology , genetics , environmental health
Results are presented from 128 oral glucose tolerance tests carried out 4 days (median) post partum in 129 women who gave birth to an infant with birthweight >4,500 g. Among these 129, only 1 overweight patient was found to be diabetic; testing revealed glucose intolerance in 7 patients, of whom 6 had returned to normal at re‐examination. These data are comparable to those found in a general Danish population screening. Oral glucose tolerance tests based upon blood glucose concentrations 2 h postprandially, performed in the puerperium, cannot be recommended as a screening procedure for diabetes mellitus. By re‐gressional analyses of data from 64 controls with normal‐weight offspring, including six factors customarily related to birth weight, the importance of each risk factor could be estimated. The following simple equation revealed a correlation coefficient of 0.69: Estimated birthweight = 122 x menostasia in weeks + 370 x average weight of siblings in kg + 43 x weight gain in pregnancy + 6 x maternal weight before pregnancy −3,655.