AI Article Synopsis

  • The study highlights the rising prevalence of Gestational Diabetes Mellitus (GDM) among antenatal women, attributed to increasing obesity and inactivity.
  • A total of 300 women aged 24-28 weeks of gestation were screened, revealing 17.33% had GDM and 21.67% had Gestational Glucose Intolerance (GGI), with young women (21-30 years) being the most affected.
  • The research suggests the importance of monitoring GGI patients to prevent progression to GDM, emphasizing significant factors like occupation, lifestyle, and BMI in the prevalence rates.

Article Abstract

Background: The prevalence of Gestational Diabetes Mellitus has been on the rise. With the dramatic increase in the prevalence of overweight, obesity, and inactivity amongst the population, it's becoming a common problem affecting antenatal women and their offspring.

Subjects And Methods: A prospective cross-sectional study was carried out involving antenatal women between 24-28 weeks of gestation at a tertiary care centre in a rural part of Gujarat. Patients were screened using the Diabetes in Pregnancy Study Group India (DIPSI) guidelines. Analysis was carried out using Chi-square and ANOVA test.

Results: Patients having PG2BS ≥140 mg/dl were diagnosed as having Gestational Diabetes Mellitus (GDM), while those having PG2BS values between 120-139 mg/dl were diagnosed as having Gestational Glucose Intolerance (GGI). Out of the 300 patients screened, we found an overall prevalence of 52 (17.33%) having GDM and 65 (21.67%) having GGI. Most patients belonged to the age bracket of 21-30 years across all groups. The prevalence of GDM in rural antenatal women was 23 (44.2%) and in semi-urban antenatal women was 25 (48.1%) while GGI in the rural antenatal women was 45 (69.2%) followed by semi-urban antenatal women 19 (29.2). We found that Occupation, Residence, Lifestyle, Socio-Economic Class, Family history of Diabetes Mellitus, Body Mass Index (BMI) were all statistically significant whereas Antenatal Complications and Perinatal outcomes weren't.

Conclusion: With such a high prevalence of GGI, almost equivalent to GDM, it is important to identify patients having GGI and monitor them to prevent progression to GDM by starting an appropriate treatment modality.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9051691PMC
http://dx.doi.org/10.4103/jfmpc.jfmpc_1059_21DOI Listing

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