Diabetes Monit 2002;3(1):97-105.
새로운 진단기준 ( ADA ) 에 따른 임신성 당뇨병의 빈도 및 특징
박진찬, 박석원, 박진경, 정훈, 홍은경, 김세현, 이상종, 이미화, 주선녀, 박홍훈, 조용욱, 김유리
The Prevalence and Characteristics of Gestational Diabetes Mellitus by the Criteria of American Diabetes Association
Jin Chan Park, Seok Won Park, Jin Kyoung Park, Hun Jeong, Eun Gyoung Hong, Se Hyun Kim, Sang Jong Lee, Mi Hwa Lee, Seon Nyo Chu, Hong Hoon Park, Yong Wook Cho, Yoo Lee Kim
Abstract
Background
Recently, American Diabetes Association(ADA) accepted the Carpenter and Coustan`s criteria for the diagnosis of GDM. This report will examine the change of the prevalence and clinical characteristics of GDM in Korean pregnant women according to either NDDG or ADA criteria. Method: 2,682 pregnant women were universally screened for GDM. 451 positively screened women were taken 100gm OGTT and classified into three groups. The group A was women with NGT, group B was women with GDM by NDDG criteria, and group C was women with GDM additionally diagnosed by ADA criteria. We examined the prevalence and compared the clinical and biochemical characteristics of the three groups. Results: 1) The prevalence of GDM was increased from 2.1% to 3.4% according to the change of the diagnostic criteria. 2) The pregestational weight, BMI, gravida, parity, fasting plasma glucose level in group C were not different from group B, but significantly different from group A. 3) The rates of macrosomia, large or small for gestational age, prematurity, 1 and 5 minute APGAR scores, and cesarean section rates were not different among three groups. Conclusion: The prevalence of GDM was 2.1% by NDDG criteria and increased to 3.4% by ADA criteria. The clinical and biochemical characteristics of subjects with GDM diagnosed by ADA criteria were similar to subjects with GDM by NDDG criteria, but significantly different from women with NGT.


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