Recurrence of gestational diabetes mellitus: rates and risk factors from initial GDM and one abnormal GTT value.
The recurrence rate of GDM among women in Japan who had GDM or one abnormal value on 75 g oral glucose tolerance test (OAV) during an initial pregnancy is unclear. We therefore sought to determine the recurrence rate and risk factors of recurrent GDM by evaluating 32 patients with GDM and 37 with OAV in their index pregnancies. Medical records and chemical data were compared between patients with and without GDM in their subsequent pregnancies. The recurrence rate from index GDM and OAV were 65.6% and 40.5%. Age, BMI before pregnancy, an increased weight gain between pregnancies and a short interval between pregnancies were risk factors for recurrence from the initial GDM. An increased weight gain between pregnancies and a short interval between pregnancies were risk factors of development to GDM from the initial OAV. We concluded that the control of weight gain and interval between pregnancies could be important to reduce GDM recurrence.
Nohira
Tomoyoshi
T
Department of Obstetrics and Gynecology, Hachioji Medical Center of Tokyo Medical University, Tate-machi 1163, Hachioji-si, Tokyo 193-0998, Japan. tnohira@mac.com
Kim
Seiichi
S
Nakai
Hiromi
H
Okabe
Kazuhiro
K
Nohira
Tomoo
T
Yoneyama
Kuniyoshi
K
D000328:Adult; D001786:Blood Glucose / Q000378:metabolism; D015992:Body Mass Index; D016640:Diabetes, Gestational / Q000453:epidemiology* / Q000209:etiology; D005260:Female; D005865:Gestational Age; D005951:Glucose Tolerance Test; D006801:Humans; D007564:Japan / Q000453:epidemiology; D011247:Pregnancy; D011256:Pregnancy Outcome; D011379:Prognosis; D012008:Recurrence; D012307:Risk Factors; D015430:Weight Gain
D001786:Blood Glucose