title: Prevalence of gestational diabetes mellitus & associated risk factors at a tertiary care hospital in Haryana.
abstract: OBJECTIVE
  Prevalence of gestational diabetes mellitus (GDM) is known to vary widely depending on the region of the country, dietary habits, and socio-economic status. This study was undertaken to determine the prevalence of GDM and risk factors associated with it, in women attending an antenatal care (ANC) clinic at a tertiary care hospital in Haryana.
  
  
  METHODS
  This study enrolled women, with their estimated gestational age between 24th and 28th week, attending antenatal care (ANC) clinic at a tertiary care hospital in Rohtak. After informing, women who consented to participate were given a standardized 2-h 75 g oral glucose tolerance test (OGTT). A proforma containing general information on demographic characteristics, socio-economic status, education level, parity, family history of diabetes and/or hypertension and past history of GDM was filled up. American Diabetes Association (ADA) criteria for 75 g 2-h OGTT was used for diagnosing GDM.
  
  
  RESULTS
  A total of 607 women participated in the study and GDM was diagnosed in 43 (7.1%) women. A single abnormal value was observed in additional 66 (10.87%) women. On bivariate analysis risk factors found to be significantly associated with GDM were age, educational level, socio-economic status, pre-pregnancy weight and BMI, weight gain, acanthosis nigricans, family history of diabetes or hypertension and past history of GDM but on multivariate analysis only upper middle class and presence of acanthosis nigricans were found to be significantly associated with GDM.
  
  
  CONCLUSIONS
  The prevalence of GDM was found to be 7.1 per cent in a tertiary care hospital in Haryana. Appropriate interventions are required for control and risk factor modifications.
authors.affiliation: Department of Medicine VI & Endocrinology, Community Medicine, Pt. BDS Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India. rajputrajmeena@hotmail.com
authors.forename: Rajesh
authors.initials: R
authors.lastname: Rajput
authors.forename: Yogesh
authors.initials: Y
authors.lastname: Yadav
authors.forename: Smiti
authors.initials: S
authors.lastname: Nanda
authors.forename: Meena
authors.initials: M
authors.lastname: Rajput
mesh_terms: D000328:Adult; D001786:Blood Glucose; D001835:Body Weight; D016640:Diabetes, Gestational / Q000097:blood / Q000453:epidemiology* / Q000473:pathology / Q000628:therapy*; D005260:Female; D005951:Glucose Tolerance Test; D006801:Humans; D011247:Pregnancy; D015995:Prevalence; D012307:Risk Factors; D063128:Tertiary Health Care
chemical_list: D001786:Blood Glucose