title: Early diabetes screening in obese women.
abstract: OBJECTIVE
  To describe maternal characteristics related to early screening for diabetes in obese women and evaluate the benefits of early diabetes screening and diagnosis.
  
  
  METHODS
  Retrospective cohort of obese women (BMI ≥30 kg/m2) without pregestational diabetes who delivered a singleton gestation between 2011 and 2012. Maternal characteristics/demographics and maternal and neonatal outcomes were compared between women with early diabetes screening (<20 weeks) versus traditional screening. We additionally compared maternal and neonatal outcomes for women with an early versus traditional diabetes diagnosis.
  
  
  RESULTS
  Of the 504 eligible women, 135 (26.8%) had early diabetes screening. Obese women with early screening were older, had a higher BMI, were more likely to have hypertension and neonates admitted to the NICU. Of women with early screening, 31 (23%) were diagnosed early. Women with an early diagnosis of diabetes were more likely to require treatment with insulin (36% vs. 23%, p = 0.003). Women with an early diagnosis of diabetes were more likely to have neonates in the NICU (48% vs. 26%, p = 0.03).
  
  
  CONCLUSIONS
  Early screening for diabetes was more common in older women with additional comorbidities. Obese women diagnosed via early screening were more likely to require medical treatment for diabetes, suggesting a value to early screening.
authors.affiliation: a Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine , University of Illinois at Chicago , Chicago , IL , USA.
authors.forename: Samadh F
authors.initials: SF
authors.lastname: Ravangard
authors.affiliation: b Department of Obstetrics and Gynecology , Mercy Hospital and Medical Center , Chicago , lL , USA.
authors.forename: Ashley E
authors.initials: AE
authors.lastname: Scott
authors.affiliation: a Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine , University of Illinois at Chicago , Chicago , IL , USA.
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Mastrogiannis
authors.affiliation: c Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine , Northwestern University Feinberg School of Medicine , Chicago , IL , USA.
authors.forename: Michelle A
authors.initials: MA
authors.lastname: Kominiarek
mesh_terms: D000328:Adult; D015992:Body Mass Index; D016640:Diabetes, Gestational / Q000175:diagnosis* / Q000453:epidemiology*; D042241:Early Diagnosis; D005260:Female; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D009765:Obesity / Q000097:blood / Q000150:complications* / Q000453:epidemiology*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000097:blood / Q000453:epidemiology; D011256:Pregnancy Outcome / Q000453:epidemiology*; D012189:Retrospective Studies; D055815:Young Adult
keywords: Pregnancy; diabetes; neonatal outcomes; obesity