TY - JOUR
T1 - The importance of fasting blood glucose in screening for gestational diabetes
AU - Herrera, Kimberly
AU - Brustman, Lois
AU - Foroutan, Janelle
AU - Scarpelli, Sophia
AU - Murphy, Elizabeth
AU - Francis, Antonia
AU - Rosenn, Barak
N1 - Publisher Copyright:
© 2014 Informa UK Ltd. All rights reserved: reproduction in whole or part not permitted.
PY - 2015/5/1
Y1 - 2015/5/1
N2 - Objective: To determine how well an isolated abnormal fasting blood glucose (FBG) value on the 1-step, 75-g, 2-hour glucose tolerance test (GTT) indicates significant gestational diabetes (GDM). Methods: Retrospective cohort study, January 2011 to May 2012. Patients diagnosed by the 1-step method were assigned by their abnormal results to the isolated fasting (FBG), isolated 1-hour (1HBG), isolated 2-hour (2HBG), or multiple-value (≥2BG) group. Characteristics and outcomes were compared using ANOVA, Kruskal - Wallis, and Chi-squared tests. Results: 324 patients were included. Compared to other groups, the FBG group (N = 23) had the highest incidence of requiring medical therapy (78.26%), mean body mass index (29.40 ± 6.20 kg/m2), and percentage of Black plus Hispanic women (60.87%). Conclusions: Seven percent of women were diagnosed with GDM by an isolated abnormal fasting BG and have significant disease. This group should not be missed; therefore, fasting BG should be integrated into all GDM screening.
AB - Objective: To determine how well an isolated abnormal fasting blood glucose (FBG) value on the 1-step, 75-g, 2-hour glucose tolerance test (GTT) indicates significant gestational diabetes (GDM). Methods: Retrospective cohort study, January 2011 to May 2012. Patients diagnosed by the 1-step method were assigned by their abnormal results to the isolated fasting (FBG), isolated 1-hour (1HBG), isolated 2-hour (2HBG), or multiple-value (≥2BG) group. Characteristics and outcomes were compared using ANOVA, Kruskal - Wallis, and Chi-squared tests. Results: 324 patients were included. Compared to other groups, the FBG group (N = 23) had the highest incidence of requiring medical therapy (78.26%), mean body mass index (29.40 ± 6.20 kg/m2), and percentage of Black plus Hispanic women (60.87%). Conclusions: Seven percent of women were diagnosed with GDM by an isolated abnormal fasting BG and have significant disease. This group should not be missed; therefore, fasting BG should be integrated into all GDM screening.
KW - 1-step method
KW - 2-hour glucose tolerance test
KW - 2-step method
UR - http://www.scopus.com/inward/record.url?scp=84930903446&partnerID=8YFLogxK
U2 - 10.3109/14767058.2014.935322
DO - 10.3109/14767058.2014.935322
M3 - Article
C2 - 24939625
AN - SCOPUS:84930903446
SN - 1476-7058
VL - 28
SP - 825
EP - 828
JO - Journal of Maternal-Fetal and Neonatal Medicine
JF - Journal of Maternal-Fetal and Neonatal Medicine
IS - 7
ER -