Publications by authors named "Wycliffe K Kosgei"
Background: More than 90% of gestational diabetes cases are estimated to occur in low-income and middle-income countries (LMICs). Most current guidelines recommend an oral glucose tolerance test (OGTT) at 24-28 weeks of gestation. The OGTT is burdensome, especially in LMICs, resulting in a high proportion of women not being screened.
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- Gestational diabetes (GDM) is increasingly common globally, particularly in low- and middle-income countries, necessitating more research on its prevalence in high-risk groups, especially pregnant women with HIV in regions like Kenya.
- The STRiDE study, one of the largest GDM studies in Kenya, monitored pregnant women aged 16-50 to assess GDM using various glucose testing methods, including fasting glucose and oral glucose tolerance tests (OGTT).
- The study involved comparing 83 pregnant women with HIV to 249 HIV-negative counterparts, finding no significant differences in glucose levels between the two groups, although marital status differed.
Prevalence of gestational diabetes mellitus based on various screening strategies in western Kenya: a prospective comparison of point of care diagnostic methods.
BMC Pregnancy Childbirth
July 2017
Background: Early diagnosis of gestational diabetes mellitus (GDM) is crucial to prevent short term delivery risks and long term effects such as cardiovascular and metabolic diseases in the mother and infant. Diagnosing GDM in Sub-Saharan Africa (SSA) however, remains sub-optimal due to associated logistical and cost barriers for resource-constrained populations. A cost-effective strategy to screen for GDM in such settings are therefore urgently required.
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