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Acta Diabetologica

, Volume 47, Issue 2, pp 97–103 | Cite as

Universal versus selective screening for the detection, control and prognosis of gestational diabetes mellitus in Argentina

  • Antonio Desmond McCarthyEmail author
  • Renata Curciarello
  • Nicolás Castiglione
  • Marina Fernández Tayeldín
  • Diego Costa
  • Verónica Arnol
  • Anabela Prospitti
  • Analía Aliano
  • Daniela Archuby
  • Augusto Graieb
  • María J. Torres
  • Susana B. Etcheverry
  • María C. Apezteguía
Original Article

Abstract

In all, 1,702 unselected pregnant women from the city of La Plata were tested for gestational diabetes mellitus (GDM) and evaluated to determine GDM prevalence and risk factors. In women with GDM, we evaluated compliance with guidelines for GDM management, and perinatal complications attributable to GDM. GDM prevalence was 5.8%, and its risk factors were pre-gestational obesity, previous hyperglycaemia, age > 30 years, previous GDM (and its surrogate markers). In primi-gravida (PG) subjects, GDM was equally prevalent in the presence (4.2%) or absence (4.0%) of risk factors. In multi-gravida (MG) women, although risk factors doubled the prevalence of GDM (8.6%), in the absence of risk factors GDM prevalence was similar to that of PG women (3.9%). Half of all women with GDM received inadequate post-diagnosis obstetric control, and this induced a fourfold increase in infant perinatal complications. In conclusion, all non-hyperglycaemic 24–28-week pregnant women should be tested for GDM, although particular attention must be paid to MG women with risk factors.

Keywords

Gestational diabetes mellitus Universal and selective screening Risk factors Parity Obstetric control Perinatal complications 

Notes

Acknowledgments

MCA is a member of Carrera de Profesional de Apoyo a la Investigación de la CICPBA. SBE is a member of Carrera del Investigador Científico del CONICET. This study was supported by Secretaría de Extensión de la Universidad Nacional de La Plata, by Ministerio de Salud de la República Argentina (Beca Carrillo-Oñativia) and by Secretaría de Salud y Medicina Social de la Municipalidad de La Plata.

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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Antonio Desmond McCarthy
    • 1
    • 2
    • 6
    Email author
  • Renata Curciarello
    • 1
  • Nicolás Castiglione
    • 1
  • Marina Fernández Tayeldín
    • 1
    • 3
  • Diego Costa
    • 1
  • Verónica Arnol
    • 1
  • Anabela Prospitti
    • 1
  • Analía Aliano
    • 1
  • Daniela Archuby
    • 1
  • Augusto Graieb
    • 1
  • María J. Torres
    • 1
  • Susana B. Etcheverry
    • 1
  • María C. Apezteguía
    • 4
    • 5
  1. 1.Cátedra de Bioquímica Patológica, Facultad de Ciencias ExactasUniversidad Nacional de La PlataLa PlataArgentina
  2. 2.Programa de Diabetes de la Provincia de Buenos Aires (PRODIABA)Buenos AiresArgentina
  3. 3.Hospital Z.G.A. “San Roque” de Gonnet, Provincia de Buenos AiresBuenos AiresArgentina
  4. 4.Comisión de Investigaciones Científicas de la Provincia de Buenos Aires (CIC)Buenos AiresArgentina
  5. 5.Departamento de Matemática, Facultad de Ciencias ExactasUniversidad Nacional de La PlataLa PlataArgentina
  6. 6.Cátedra de Anatomía e Histología, Facultad de Ciencias ExactasUniversidad Nacional de La PlataLa PlataArgentina

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