Screening for gestational diabetes mellitus in adolescent Hispanic Americans.
OBJECTIVE
To determine the incidence of gestational diabetes mellitus (GDM) in an adolescent Hispanic American population.


METHODS
A retrospective review of 326 women < 20 years of age who identified themselves as Hispanic American was conducted and the incidence of gestational diabetes determined.


RESULTS
Thirty adolescent Hispanic Americans (9.2%) had an abnormal result (> or = 140 mg/dL) after 50-g, one-hour oral glucose challenge testing. These women underwent three-hour oral glucose tolerance tests, and five met the criteria for GDM. The incidence of GDM in this population was 1.5% (5/326) (95% confidence interval, 0.6, 3.7).


CONCLUSIONS
The incidence of GDM in adolescent Hispanic Americans is so low that universal screening may not be warranted.
Southwick
R D
RD
Department of Obstetrics and Gynecology, Medical College of Wisconsin, Milwaukee 53226, USA.
Wigton
T R
TR
D000293:Adolescent; D001724:Birth Weight; D016640:Diabetes, Gestational / Q000175:diagnosis* / Q000453:epidemiology; D005260:Female; D005865:Gestational Age; D005951:Glucose Tolerance Test; D006630:Hispanic or Latino; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D011253:Pregnancy in Adolescence; D012189:Retrospective Studies