OBJECTIVE: To assess maternal and neonatal outcomes of gestational diabetes mellitus (GDM) following glycemic screening and diabetic management, with special focus on concurrent GDM and pre-eclampsia. METHODS: A retrospective chart review of 782 women diagnosed with and treated for GDM at a Chinese university teaching hospital. Data on maternal and neonatal outcome, glycemic control, concurrent pre-eclampsia, and diabetic management were collected and analyzed. RESULTS: The incidence of GDM was 3.8%. Of the affected women, 62.9% were managed with diet only and the remainder received insulin treatment. Overall, 80.7% had good glycemic control. Poor glycemic control and concurrent pre-eclampsia correlated with maternal and neonatal complications. CONCLUSION: Aggressive management for tight glycemic control improves maternal and neonatal outcomes in women with GDM.
OBJECTIVE: To assess maternal and neonatal outcomes of gestational diabetes mellitus (GDM) following glycemic screening and diabetic management, with special focus on concurrent GDM and pre-eclampsia. METHODS: A retrospective chart review of 782 women diagnosed with and treated for GDM at a Chinese university teaching hospital. Data on maternal and neonatal outcome, glycemic control, concurrent pre-eclampsia, and diabetic management were collected and analyzed. RESULTS: The incidence of GDM was 3.8%. Of the affected women, 62.9% were managed with diet only and the remainder received insulin treatment. Overall, 80.7% had good glycemic control. Poor glycemic control and concurrent pre-eclampsia correlated with maternal and neonatal complications. CONCLUSION: Aggressive management for tight glycemic control improves maternal and neonatal outcomes in women with GDM.
Authors: Yap-Seng Chong; Shirong Cai; Harvard Lin; Shu E Soh; Yung-Seng Lee; Melvin Khee-Shing Leow; Yiong-Huak Chan; Li Chen; Joanna D Holbrook; Kok-Hian Tan; Victor Samuel Rajadurai; George Seow-Heong Yeo; Michael S Kramer; Seang-Mei Saw; Peter D Gluckman; Keith M Godfrey; Kenneth Kwek Journal: BMC Pregnancy Childbirth Date: 2014-10-02 Impact factor: 3.007
Authors: Tina M Saldana; Olga Basso; Donna D Baird; Jane A Hoppin; Clarice R Weinberg; Aaron Blair; Michael C R Alavanja; Dale P Sandler Journal: Environ Health Perspect Date: 2009-06-04 Impact factor: 9.031