Cargando…
Silent upsurge of gestational diabetes: Are we aware? A rural tertiary care experience of Central Gujarat
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 prospect...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9051691/ https://www.ncbi.nlm.nih.gov/pubmed/35495827 http://dx.doi.org/10.4103/jfmpc.jfmpc_1059_21 |
_version_ | 1784696616938110976 |
---|---|
author | Shah, Charmi S. Vaishnav, Smruti B. Mankad, Saptak P. Sharma, Tanishq S. Sapre, Shilpa A. Raithatha, Nitin S. Patel, Mamta R. Mannari, Jyoti G. |
author_facet | Shah, Charmi S. Vaishnav, Smruti B. Mankad, Saptak P. Sharma, Tanishq S. Sapre, Shilpa A. Raithatha, Nitin S. Patel, Mamta R. Mannari, Jyoti G. |
author_sort | Shah, Charmi S. |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-9051691 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-90516912022-04-30 Silent upsurge of gestational diabetes: Are we aware? A rural tertiary care experience of Central Gujarat Shah, Charmi S. Vaishnav, Smruti B. Mankad, Saptak P. Sharma, Tanishq S. Sapre, Shilpa A. Raithatha, Nitin S. Patel, Mamta R. Mannari, Jyoti G. J Family Med Prim Care Original Article 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. Wolters Kluwer - Medknow 2022-03 2022-03-10 /pmc/articles/PMC9051691/ /pubmed/35495827 http://dx.doi.org/10.4103/jfmpc.jfmpc_1059_21 Text en Copyright: © 2022 Journal of Family Medicine and Primary Care https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Shah, Charmi S. Vaishnav, Smruti B. Mankad, Saptak P. Sharma, Tanishq S. Sapre, Shilpa A. Raithatha, Nitin S. Patel, Mamta R. Mannari, Jyoti G. Silent upsurge of gestational diabetes: Are we aware? A rural tertiary care experience of Central Gujarat |
title | Silent upsurge of gestational diabetes: Are we aware? A rural tertiary care experience of Central Gujarat |
title_full | Silent upsurge of gestational diabetes: Are we aware? A rural tertiary care experience of Central Gujarat |
title_fullStr | Silent upsurge of gestational diabetes: Are we aware? A rural tertiary care experience of Central Gujarat |
title_full_unstemmed | Silent upsurge of gestational diabetes: Are we aware? A rural tertiary care experience of Central Gujarat |
title_short | Silent upsurge of gestational diabetes: Are we aware? A rural tertiary care experience of Central Gujarat |
title_sort | silent upsurge of gestational diabetes: are we aware? a rural tertiary care experience of central gujarat |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9051691/ https://www.ncbi.nlm.nih.gov/pubmed/35495827 http://dx.doi.org/10.4103/jfmpc.jfmpc_1059_21 |
work_keys_str_mv | AT shahcharmis silentupsurgeofgestationaldiabetesareweawarearuraltertiarycareexperienceofcentralgujarat AT vaishnavsmrutib silentupsurgeofgestationaldiabetesareweawarearuraltertiarycareexperienceofcentralgujarat AT mankadsaptakp silentupsurgeofgestationaldiabetesareweawarearuraltertiarycareexperienceofcentralgujarat AT sharmatanishqs silentupsurgeofgestationaldiabetesareweawarearuraltertiarycareexperienceofcentralgujarat AT sapreshilpaa silentupsurgeofgestationaldiabetesareweawarearuraltertiarycareexperienceofcentralgujarat AT raithathanitins silentupsurgeofgestationaldiabetesareweawarearuraltertiarycareexperienceofcentralgujarat AT patelmamtar silentupsurgeofgestationaldiabetesareweawarearuraltertiarycareexperienceofcentralgujarat AT mannarijyotig silentupsurgeofgestationaldiabetesareweawarearuraltertiarycareexperienceofcentralgujarat |