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 > or = 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.
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 > or = 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.
Authors: Sang Youl Rhee; Joo Young Kim; Jeong-Taek Woo; Young Seol Kim; Sung-Hoon Kim Journal: Korean J Intern Med Date: 2010-08-31 Impact factor: 2.884
Authors: Yun Hyi Ku; Sung Hee Choi; Soo Lim; Young Min Cho; Young Joo Park; Kyong Soo Park; Seong Yeon Kim; Hak Chul Jang Journal: Diabetes Metab J Date: 2011-10-31 Impact factor: 5.376
Authors: Soo Heon Kwak; Sung-Hoon Kim; Young Min Cho; Min Jin Go; Yoon Shin Cho; Sung Hee Choi; Min Kyong Moon; Hye Seung Jung; Hyoung Doo Shin; Hyun Min Kang; Nam H Cho; In Kyu Lee; Seong Yeon Kim; Bok-Ghee Han; Hak C Jang; Kyong Soo Park Journal: Diabetes Date: 2012-01-10 Impact factor: 9.461
Authors: Soo Heon Kwak; Hae Sung Kim; Sung Hee Choi; Soo Lim; Young Min Cho; Kyong Soo Park; Hak C Jang; Moon Young Kim; Nam H Cho; Boyd E Metzger Journal: Diabetes Care Date: 2008-06-05 Impact factor: 19.112