Publications by authors named "Catarina Estevinho"
First trimester fasting glucose and glycated haemoglobin cut-offs associated with abnormal glucose homeostasis in the post-partum reclassification in women with hyperglycaemia in pregnancy.
Arch Gynecol Obstet
February 2022
Article Synopsis
- Hyperglycaemia during pregnancy can indicate either gestational diabetes or previously undiagnosed diabetes, prompting a study on predicting type 2 diabetes (T2DM) risk in postpartum women.
- Researchers analyzed data from 4068 pregnant women to identify optimal fasting glycaemia (FTG) and glycated hemoglobin (HbA1c) cut-off values for T2DM and abnormal glucose homeostasis (AGH) using receiver-operating characteristic (ROC) curves.
- The study found that FTG < 99 mg/dL and HbA1c < 5.4% are effective cut-offs for ruling out T2DM, suggesting early testing could help identify undiagnosed diabetes in women after childbirth.
Aim: Metformin use in gestational diabetes (GDM) is a common practice. Although its use in combination with insulin might be advantageous, it was never formally tested. We studied whether combined treatment was associated with better obstetric or neonatal outcomes compared to insulin alone.
View Article and Find Full Text PDFParvovirus B19 has tropism for red line blood cells, causing immune hydrops during pregnancy. A positive anti-Kell Coombs reaction usually happens during pregnancy when there is production of antibodies that target Kell antigens, but cross reactions to other antigens may occur. A 24-year-old Gypsy primigravida, 0 Rhesus positive, presented with persistent isolated hyperthermia for 2 weeks and a positive indirect Coombs test result with anti-Kell antibodies at routine tests.
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