Universal versus selective screening for the detection, control and prognosis of gestational diabetes mellitus in Argentina
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In all, 1,702 unselected pregnant women from the city of La Plata were tested for gestational diabetes mellitus (GDM) and evaluated to determine GDM prevalence and risk factors. In women with GDM, we evaluated compliance with guidelines for GDM management, and perinatal complications attributable to GDM. GDM prevalence was 5.8%, and its risk factors were pre-gestational obesity, previous hyperglycaemia, age > 30 years, previous GDM (and its surrogate markers). In primi-gravida (PG) subjects, GDM was equally prevalent in the presence (4.2%) or absence (4.0%) of risk factors. In multi-gravida (MG) women, although risk factors doubled the prevalence of GDM (8.6%), in the absence of risk factors GDM prevalence was similar to that of PG women (3.9%). Half of all women with GDM received inadequate post-diagnosis obstetric control, and this induced a fourfold increase in infant perinatal complications. In conclusion, all non-hyperglycaemic 24-28-week pregnant women should be tested for GDM, although particular attention must be paid to MG women with risk factors.
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In Argentina, there was an almost two-fold increase in gestational diabetes mellitus prevalence compared to 1995 (5.0%) and 2009 (5.8%).
“Additionally, the authors presented an almost two-fold increase in the GDM prevalence [83] in comparison to the years: 1995 (5.0%) [84] and 2009 (5.8%) [85].”
From Evolution of Gestational Diabetes Mellitus across Continents in 21st Century (2022) · cites this paper as [85]
Cites
Effect of Treatment of Gestational Diabetes Mellitus on Pregnancy Outcomes
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Behboudi-Gandevani, S., Amiri, M., Bidhendi Yarandi, R., & Ramezani Tehrani, F. (2019) · Diabetology & Metabolic Syndrome · doi:10.1186/s13098-019-0406-1 · Cited by 321 · see citing works
Evolution of Gestational Diabetes Mellitus across Continents in 21st Century
Dłuski, D. F., Ruszała, M., Rudziński, G., Pożarowska, K., Brzuszkiewicz, K., & Leszczyńska-Gorzelak, B. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192315804 · Cited by 41 · see citing works
- Authors
- McCarthy, A. D., Curciarello, R., Castiglione, N., Tayeldín, M. F., Costa, D., Arnol, V., Prospitti, A., Aliano, A., Archuby, D., Graieb, A., Torres, M. J., Etcheverry, S. B., & Apezteguía, M. C.
- Affiliations
- Universidad Nacional de La Plata (AR)
- Comisión de Investigaciones Científicas (AR)
- Corresponding author
- McCarthy, Antonio Desmond
- Venue
- Acta Diabetologica
- Published
- 2009-03-20
- Volume
- 47
- Issue
- 2
- Pages
- 97-103
- ISSN
- 0940-5429 (ISSN-L)
- 1432-5233
- OpenAlex
- W2037956473
- Cited by
- 31
- References
- 3
- Citations by year
- 2025: 1 · 2023: 1 · 2022: 1 · 2021: 2 · 2020: 1 · 2019: 2 · 2018: 2 · 2017: 5 · 2014: 4 · 2013: 4 · 2012: 1
- FWCI
- 2.95
- Type
- journal article
- Language
- en
- Open access
- green
- sedici.unlp.edu.ar
- Licence
- cc-by-nc-sa
- www.springer.com/tdm (tdm)
- Locations
- Acta Diabetologica (publishedVersion)
- PubMed (publishedVersion)
- El Servicio de Difusión de la Creación Intelectual (National University of La Plata) (submittedVersion, cc-by-nc-sa)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, cc-by-nc-sa)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- gestational diabetes mellitus, universal screening, targeted screening, GDM prevalence, risk factors, primigravida, multigravida, perinatal complications, obstetric management, Argentina
- MeSH terms
- Adult, Argentina, Female, Humans, Mass Screening, Patient Compliance, Patient Education as Topic, Pregnancy, Pregnancy Trimester, Second, Prognosis, Risk Factors, Body Mass Index, Prevalence, Diabetes, Gestational, Young Adult
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