title: Obstetrical outcomes in patients with early onset gestational diabetes.
abstract: OBJECTIVE
  The objective of this study was to characterize patients with early onset gestational diabetes and compare outcomes to patients diagnosed with standard gestational diabetes and pregestational diabetes.
  
  
  METHODS
  This is a retrospective cohort study of patients diagnosed with gestational or pregestational diabetes. All patients received a glucose challenge test at their first prenatal visit to diagnose early onset gestational diabetes and were recommended to have postpartum glucose tolerance tests to detect undiagnosed type 2 diabetes. Outcomes were compared between patients with early onset gestational diabetes and both standard gestational diabetes and pregestational diabetes with p < 0.05 was used for significance.
  
  
  RESULTS
  Four hundred and twenty-four patients met the inclusion criteria. Nine percent of the patients with early onset gestational diabetes were found to have undiagnosed type 2 diabetes based on postpartum testing and 91% to have resolution in the postpartum period. No patient with early onset gestational diabetes and resolution in the postpartum period had abnormal screening for renal or ophthalmologic disease, but 5% had abnormal fetal echocardiograms. These patients were more likely to require pharmacotherapy for glycemic control than patients with standard gestational diabetes and less likely than patients with pregestational diabetes (55% versus 39% versus 81%).
  
  
  CONCLUSIONS
  Most patients diagnosed with early onset gestational diabetes do not have undiagnosed type 2 diabetes but do have unique characteristics and obstetrical outcomes.
authors.affiliation: a Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology , New York University School of Medicine , New York , NY , USA .|b Maternal Fetal Medicine Associates , New York , NY , USA , and.
authors.forename: Simi
authors.initials: S
authors.lastname: Gupta
authors.affiliation: a Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology , New York University School of Medicine , New York , NY , USA .
authors.forename: Cara
authors.initials: C
authors.lastname: Dolin
authors.affiliation: a Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology , New York University School of Medicine , New York , NY , USA .|c Division of Maternal-Fetal Medicine , UMDNJ-Robert Wood Johnson Medical School , New York , NY , USA.
authors.forename: Ashwin
authors.initials: A
authors.lastname: Jadhav
authors.affiliation: a Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology , New York University School of Medicine , New York , NY , USA .
authors.forename: Judith
authors.initials: J
authors.lastname: Chervenak
authors.affiliation: a Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology , New York University School of Medicine , New York , NY , USA .
authors.forename: Ilan
authors.initials: I
authors.lastname: Timor-Tritsch
authors.affiliation: a Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology , New York University School of Medicine , New York , NY , USA .
authors.forename: Ana
authors.initials: A
authors.lastname: Monteagudo
mesh_terms: D000328:Adult; D017668:Age of Onset; D016640:Diabetes, Gestational / Q000453:epidemiology*; D005260:Female; D006801:Humans; D009519:New York City / Q000453:epidemiology; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology*; D012189:Retrospective Studies; D055815:Young Adult
keywords: Gestational diabetes; postpartum glucose tolerance test; pregestational diabetes