A 2 hour versus the 3 hour 100 g glucose tolerance test for diagnosing gestational diabetes mellitus

Verfasser / Beitragende:
[P. Jakobi, I. Solt, A. Weissman]
Ort, Verlag, Jahr:
2004
Enthalten in:
Journal of Perinatal Medicine, 32/4(2004-07-09), 320-322
Format:
Artikel (online)
ID: 378938061
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024 7 0 |a 10.1515/JPM.2004.059  |2 doi 
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245 0 2 |a A 2 hour versus the 3 hour 100 g glucose tolerance test for diagnosing gestational diabetes mellitus  |h [Elektronische Daten]  |c [P. Jakobi, I. Solt, A. Weissman] 
520 3 |a Aim: To determine how the omission of the third hour glucose measurement of the 100 g oral glucose tolerance test (GTT) affects the diagnosis of gestational diabetes mellitus (GDM). Methods: Retrospective chart review of 876 women delivered in a tertiary care hospital in Israel during a three-year period, who underwent a 100 g 3 hour oral GTT following an abnormal 50 g glucose screen. GDM was diagnosed according to the "criterion standard” accepted in the Fourth International Workshop Conference on GDM. The results of the 100 g 3 hour oral GTT were then retrospectively re-evaluated by omission of the third hour plasma glucose measurement from the "criterion standard”. Results: GDM was diagnosed in 28.4% of the study patients, while the omission of the third hour glucose measurement resulted in a 26.4% diagnosis of GDM. The perinatal data of the 18-omitted cases suggests that their exclusion from the GDM group would not have altered substantially the perinatal outcome of the study cohort. Conclusions: A 100 g 2 hour oral GTT is a simple and economic alternative to the 100 g 3 hour oral GTT. 
540 |a Copyright © 2004 by Walter de Gruyter GmbH & Co. KG 
690 7 |a Human reproduction, growth & development  |2 nationallicence 
690 7 |a Gynaecology & obstetrics  |2 nationallicence 
690 7 |a Paediatric medicine  |2 nationallicence 
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700 1 |a Solt  |D I.  |4 aut 
700 1 |a Weissman  |D A.  |4 aut 
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