[Evaluation of carbohydrate metabolism in women with previous gestational diabetes mellitus].
70 women with previous (1983-1993) history of gestational diabetes mellitus (GDM) were examined in order to assess their present carbohydrate metabolism. The through examination together with oral glucose tolerance test (OGTT) according to WHO were performed. Also the level of glycosylated hemoglobin HbA1c was measured. The following risk factors were analysed: obesity; arterial hypertension; family history of diabetes; number of past pregnancies; time that passed since the pregnancy with GDM; trimester in which GDM was diagnosed. In result 54% of all subjects were diagnosed as having diabetes mellitus, 19% had impaired glucose tolerance (IGT). The presence of diabetes or IGT significantly correlated with the number of past pregnancies, observation time and indirectly with family history of diabetes. Using both measurements of fasting blood glucose and glycosylated hemoglobin enables to diagnose nearly 80% of diabetes following GDM and as a diagnostic method is worth recommending for screening. Women who had GDM should be subjected to control examinations towards diabetes mellitus at least once a year.
Cypryk
K
K
Kliniki Chorób Przewodu Pokarmowego i Przemiany Materii AM w Lodzi.
Loba
J
J
Wilczyński
J
J
Czupryniak
L
L
Grabowska
M
M
D000328:Adult; D050260:Carbohydrate Metabolism; D003920:Diabetes Mellitus / Q000175:diagnosis / Q000209:etiology* / Q000378:metabolism; D016640:Diabetes, Gestational / Q000150:complications*; D005260:Female; D005500:Follow-Up Studies; D005951:Glucose Tolerance Test; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D008875:Middle Aged; D011247:Pregnancy; D012307:Risk Factors
D006442:Glycated Hemoglobin
Ocena gospodarki weglowodanowej u kobiet z przebyta cukrzyca ciezarnych.