Publications by authors named "Edwin Vargas Avila"
Gestational Diabetes Mellitus Subtypes Classified by Oral Glucose Tolerance Test and Maternal and Perinatal Outcomes: Results of a Mexican Multicenter Prospective Cohort Study "Cuido Mi Embarazo".
Janinne Ortega-Montiel Luis A Martinez-Juarez Alejandra Montoya Linda Morales-Juárez Héctor Gallardo-Rincón
Diabetes Metab Syndr Obes
March 2024
Purpose: This study explores the impact of gestational diabetes mellitus (GDM) subtypes classified by oral glucose tolerance test (OGTT) values on maternal and perinatal outcomes.
Patients And Methods: This multicenter prospective cohort study (May 2019-December 2022) included participants from the Mexican multicenter cohort study (CME). Women were classified into four groups per 75-g 2-h OGTT: 1) normal glucose tolerance (normal OGTT), 2) GDM-Sensitivity (isolated abnormal fasting or abnormal fasting in combination with 1-h or 2-h abnormal results), 3) GDM-Secretion (isolated abnormal values at 1-h or 2-h or their combination), and 4) GDM-Mixed (three abnormal values).
Article Synopsis
- The study examines the effectiveness of capillary blood glucose testing compared to the traditional oral glucose tolerance test (OGTT) for detecting gestational diabetes mellitus (GDM) among pregnant women in low-resource settings in Mexico.
- It involved 947 pregnant women, showing that capillary testing had high sensitivity (89.47%) and moderate specificity (66.58%) when compared to venous plasma measurements from the OGTT.
- The findings suggest that capillary blood glucose testing is a valid and feasible alternative for GDM screening in primary healthcare, especially in low-resource settings, without any reported adverse events.