title: Clinical characteristics, modalities and complications of diabetic patients with migration background at a Central European University Clinic.
abstract: The objective of the present study was to assess (i) the effects of immigration on the outcome of 200 consecutive singleton pregnancies in women with overt diabetes as well as (ii) gender-specific differences in cardiovascular risk factor profile and the achievement of therapeutic targets in type 2 diabetic subjects with migration background (n = 50). In pregnant subjects, baseline characteristics at admission, pregnancy outcome and the rate of obstetrical complications were similar in immigrant and non-immigrant women. Type 2 diabetes and also preconceptionally undiagnosed diabetes were significantly more frequent in women with migration background. Following delivery, immigrants presented with a worse metabolic profile, including higher triglyceride and nonHDL levels, than the indigenous population. Furthermore, within diabetic subjects with a migration background, non-pregnant women feature a more adverse cardiovascular risk factor profile than men. However, no gender-specific differences in the total adherence to clinical recommendations according to clinical recommendations have been found.
authors.affiliation: Division of Nephrology and Dialysis, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria.
authors.forename: Ammon
authors.initials: A
authors.lastname: Handisurya
authors.forename: Dagmar
authors.initials: D
authors.lastname: Bancher-Todesca
authors.forename: Majid Reza
authors.initials: MR
authors.lastname: Kamyar
authors.forename: Rosa
authors.initials: R
authors.lastname: Lemmens-Gruber
authors.forename: Alexandra
authors.initials: A
authors.lastname: Kautzky-Willer
mesh_terms: D000328:Adult; D001794:Blood Pressure; D015992:Body Mass Index; D002318:Cardiovascular Diseases / Q000453:epidemiology / Q000208:ethnology; D003430:Cross-Sectional Studies; D003922:Diabetes Mellitus, Type 1 / Q000453:epidemiology* / Q000208:ethnology*; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology* / Q000208:ethnology*; D016640:Diabetes, Gestational / Q000453:epidemiology* / Q000208:ethnology*; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D005260:Female; D005858:Germany; D006442:Glycated Hemoglobin / Q000032:analysis; D006785:Hospitals, University; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D010349:Patient Compliance / Q000208:ethnology; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology* / Q000208:ethnology*; D011254:Pregnancy in Diabetics / Q000453:epidemiology* / Q000208:ethnology*; D012307:Risk Factors
chemical_list: D006442:Glycated Hemoglobin; C517652:hemoglobin A1c protein, human