title: High Frequency of Pre-Existing Type 2 Diabetes in a Series of Pregnant Women Referred for "Gestational Diabetes" in a Large Canadian Indigenous Community.
abstract: We examined the referral processes and true diagnostic classifications for diabetes complicating pregnancy in a series of 62 pregnant women consecutively referred to a diabetes education and treatment centre in a large Indigenous community in Alberta, Canada. The referrals were made over a 5-year period (2010 to 2015). The main findings of this analysis were the high frequency (38.7%) of pre-existing type 2 diabetes and previously undiagnosed or unrecognized overt diabetes and the deficiencies in early testing and recognition.
authors.affiliation: Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.
authors.forename: Ellen L
authors.initials: EL
authors.lastname: Toth
authors.affiliation: Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.
authors.forename: Kristin-Lee
authors.initials: KL
authors.lastname: Keith
authors.affiliation: Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.
authors.forename: Randy
authors.initials: R
authors.lastname: Littlechild
authors.affiliation: Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.
authors.forename: Joy
authors.initials: J
authors.lastname: Myskiw
authors.affiliation: Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.
authors.forename: Kari
authors.initials: K
authors.lastname: Meneen
authors.affiliation: Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.
authors.forename: Kelli
authors.initials: K
authors.lastname: Buckreus
authors.affiliation: Department of Medicine, University of Alberta, Edmonton, Alberta, Canada. Electronic address: roster@ualberta.ca.
authors.forename: Richard T
authors.initials: RT
authors.lastname: Oster
mesh_terms: D000293:Adolescent; D000328:Adult; D015415:Biomarkers / Q000032:analysis; D001786:Blood Glucose / Q000032:analysis; D002170:Canada / Q000453:epidemiology; D016640:Diabetes, Gestational / Q000453:epidemiology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D044382:Population Groups; D011236:Prediabetic State / Q000453:epidemiology*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology*; D011254:Pregnancy in Diabetics / Q000453:epidemiology*; D015995:Prevalence; D011379:Prognosis; D055815:Young Adult
chemical_list: D015415:Biomarkers; D001786:Blood Glucose
keywords: Amérique du Nord; Indigenous population; North America; aboriginal population; diabetes in pregnancy; diabète gestationnel; gestational diabetes; population autochtone; population indigène