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

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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.

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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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  1. Antonio Desmond McCarthy

    Present address: Cátedra de Anatomía e Histología, Facultad de Ciencias Exactas, Universidad Nacional de La Plata, calle 47 y 115, 1900, La Plata, Argentina

Authors and Affiliations

  1. Cátedra de Bioquímica Patológica, Facultad de Ciencias Exactas, Universidad Nacional de La Plata, La Plata, Argentina

    Antonio Desmond McCarthy, 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

  2. Programa de Diabetes de la Provincia de Buenos Aires (PRODIABA), Buenos Aires, Argentina

    Antonio Desmond McCarthy

  3. Hospital Z.G.A. “San Roque” de Gonnet, Provincia de Buenos Aires, Buenos Aires, Argentina

    Marina Fernández Tayeldín

  4. Comisión de Investigaciones Científicas de la Provincia de Buenos Aires (CIC), Buenos Aires, Argentina

    María C. Apezteguía

  5. Departamento de Matemática, Facultad de Ciencias Exactas, Universidad Nacional de La Plata, La Plata, Argentina

    María C. Apezteguía

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  1. Antonio Desmond McCarthy
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  2. Renata Curciarello
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  3. Nicolás Castiglione
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  6. Verónica Arnol
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  7. Anabela Prospitti
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  10. Augusto Graieb
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Correspondence to Antonio Desmond McCarthy.

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McCarthy, A.D., Curciarello, R., Castiglione, N. et al. Universal versus selective screening for the detection, control and prognosis of gestational diabetes mellitus in Argentina. Acta Diabetol 47, 97–103 (2010). https://doi.org/10.1007/s00592-009-0107-6

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  • DOI: https://doi.org/10.1007/s00592-009-0107-6

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