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Gestational Diabetes Mellitus: Screening and Outcomes in Southern Italian Pregnant Women
Recent Italian guidelines exclude women
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| Published in: | ISRN endocrinology 2013, Vol.2013, p.387495-8 |
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| container_title | ISRN endocrinology |
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| creator | Capula, Carmelo Chiefari, Eusebio Vero, Anna Arcidiacono, Biagio Iiritano, Stefania Puccio, Luigi Pullano, Vittorio Foti, Daniela P. Brunetti, Antonio Vero, Raffaella |
| description | Recent Italian guidelines exclude women |
| doi_str_mv | 10.1155/2013/387495 |
| format | article |
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To determine the effectiveness of these measures with respect to the International Association of the Diabetes and Pregnancy Study Groups (IADPSG) criteria, we evaluated 2,448 pregnant women retrospectively enrolled in Calabria, southern Italy. GDM was diagnosed following the IADPSG 2010 criteria. Among 538 women <35 years old, without risk factors, who would have not been tested according to the Italian guidelines, we diagnosed GDM in 171 (31.8%) pregnants (7.0% of total pregnants). Diagnosis was made at baseline (55.6%), 1 hour (39.8%), or 2 hours (4.7%) during OGTT. Despite of appropriate treatment, GDM represented a risk factor for cesarean section, polyhydramnios, increased birth weight, admission to neonatal intensive care units, and large for gestational age. These outcomes were similar to those observed in GDM women at high risk for GDM. In conclusion, Italian recommendations failed to identify 7.0% of women with GDM, when compared to IADPSG criteria. The risk for adverse hyperglycaemic-related outcomes is similar in low-risk and high-risk pregnants with GDM. To limit costs of GDM screening, our data suggest to restrict OGTT to two steps (baseline and 1 hour).</description><identifier>ISSN: 2090-4630</identifier><identifier>ISSN: 2090-4649</identifier><identifier>EISSN: 2090-4649</identifier><identifier>DOI: 10.1155/2013/387495</identifier><identifier>PMID: 24093064</identifier><language>eng</language><publisher>United States: Hindawi Publishing Corporation</publisher><subject>Clinical Study</subject><ispartof>ISRN endocrinology, 2013, Vol.2013, p.387495-8</ispartof><rights>Copyright © 2013 Carmelo Capula et al.</rights><rights>Copyright © 2013 Carmelo Capula et al. Carmelo Capula et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2013 Carmelo Capula et al. 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2895-af22432bf912ab040fbc3bdd6f83a675589ff3d1365bc5c73e571b0b257dc5a63</citedby><cites>FETCH-LOGICAL-c2895-af22432bf912ab040fbc3bdd6f83a675589ff3d1365bc5c73e571b0b257dc5a63</cites><orcidid>0000-0001-5329-3124</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3777200/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3777200/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,4024,27923,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24093064$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Tamemoto, H.</contributor><contributor>Zajickova, K.</contributor><contributor>Pachucki, J.</contributor><creatorcontrib>Capula, Carmelo</creatorcontrib><creatorcontrib>Chiefari, Eusebio</creatorcontrib><creatorcontrib>Vero, Anna</creatorcontrib><creatorcontrib>Arcidiacono, Biagio</creatorcontrib><creatorcontrib>Iiritano, Stefania</creatorcontrib><creatorcontrib>Puccio, Luigi</creatorcontrib><creatorcontrib>Pullano, Vittorio</creatorcontrib><creatorcontrib>Foti, Daniela P.</creatorcontrib><creatorcontrib>Brunetti, Antonio</creatorcontrib><creatorcontrib>Vero, Raffaella</creatorcontrib><title>Gestational Diabetes Mellitus: Screening and Outcomes in Southern Italian Pregnant Women</title><title>ISRN endocrinology</title><addtitle>ISRN Endocrinol</addtitle><description>Recent Italian guidelines exclude women <35 years old, without risk factors for gestational diabetes mellitus (GDM), from screening for GDM. To determine the effectiveness of these measures with respect to the International Association of the Diabetes and Pregnancy Study Groups (IADPSG) criteria, we evaluated 2,448 pregnant women retrospectively enrolled in Calabria, southern Italy. GDM was diagnosed following the IADPSG 2010 criteria. Among 538 women <35 years old, without risk factors, who would have not been tested according to the Italian guidelines, we diagnosed GDM in 171 (31.8%) pregnants (7.0% of total pregnants). Diagnosis was made at baseline (55.6%), 1 hour (39.8%), or 2 hours (4.7%) during OGTT. Despite of appropriate treatment, GDM represented a risk factor for cesarean section, polyhydramnios, increased birth weight, admission to neonatal intensive care units, and large for gestational age. These outcomes were similar to those observed in GDM women at high risk for GDM. In conclusion, Italian recommendations failed to identify 7.0% of women with GDM, when compared to IADPSG criteria. The risk for adverse hyperglycaemic-related outcomes is similar in low-risk and high-risk pregnants with GDM. 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Chiefari, Eusebio ; Vero, Anna ; Arcidiacono, Biagio ; Iiritano, Stefania ; Puccio, Luigi ; Pullano, Vittorio ; Foti, Daniela P. ; Brunetti, Antonio ; Vero, Raffaella</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2895-af22432bf912ab040fbc3bdd6f83a675589ff3d1365bc5c73e571b0b257dc5a63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Clinical Study</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Capula, Carmelo</creatorcontrib><creatorcontrib>Chiefari, Eusebio</creatorcontrib><creatorcontrib>Vero, Anna</creatorcontrib><creatorcontrib>Arcidiacono, Biagio</creatorcontrib><creatorcontrib>Iiritano, Stefania</creatorcontrib><creatorcontrib>Puccio, Luigi</creatorcontrib><creatorcontrib>Pullano, Vittorio</creatorcontrib><creatorcontrib>Foti, Daniela P.</creatorcontrib><creatorcontrib>Brunetti, Antonio</creatorcontrib><creatorcontrib>Vero, Raffaella</creatorcontrib><collection>Hindawi Publishing Complete</collection><collection>Hindawi Publishing Subscription Journals</collection><collection>Hindawi Publishing Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>ISRN endocrinology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Capula, Carmelo</au><au>Chiefari, Eusebio</au><au>Vero, Anna</au><au>Arcidiacono, Biagio</au><au>Iiritano, Stefania</au><au>Puccio, Luigi</au><au>Pullano, Vittorio</au><au>Foti, Daniela P.</au><au>Brunetti, Antonio</au><au>Vero, Raffaella</au><au>Tamemoto, H.</au><au>Zajickova, K.</au><au>Pachucki, J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gestational Diabetes Mellitus: Screening and Outcomes in Southern Italian Pregnant Women</atitle><jtitle>ISRN endocrinology</jtitle><addtitle>ISRN Endocrinol</addtitle><date>2013</date><risdate>2013</risdate><volume>2013</volume><spage>387495</spage><epage>8</epage><pages>387495-8</pages><issn>2090-4630</issn><issn>2090-4649</issn><eissn>2090-4649</eissn><abstract>Recent Italian guidelines exclude women <35 years old, without risk factors for gestational diabetes mellitus (GDM), from screening for GDM. To determine the effectiveness of these measures with respect to the International Association of the Diabetes and Pregnancy Study Groups (IADPSG) criteria, we evaluated 2,448 pregnant women retrospectively enrolled in Calabria, southern Italy. GDM was diagnosed following the IADPSG 2010 criteria. Among 538 women <35 years old, without risk factors, who would have not been tested according to the Italian guidelines, we diagnosed GDM in 171 (31.8%) pregnants (7.0% of total pregnants). Diagnosis was made at baseline (55.6%), 1 hour (39.8%), or 2 hours (4.7%) during OGTT. Despite of appropriate treatment, GDM represented a risk factor for cesarean section, polyhydramnios, increased birth weight, admission to neonatal intensive care units, and large for gestational age. These outcomes were similar to those observed in GDM women at high risk for GDM. In conclusion, Italian recommendations failed to identify 7.0% of women with GDM, when compared to IADPSG criteria. 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| subjects | Clinical Study |
| title | Gestational Diabetes Mellitus: Screening and Outcomes in Southern Italian Pregnant Women |
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