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Screening for gestational diabetes mellitus in Korea.

Authors
Jang, JH; Cho, NH; Jung, KB; Oh, KS; Dooley, SL; Metzger, BE
Citation
International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 51(2):115-122, 1995
Journal Title
International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
ISSN
0020-72921879-3479
Abstract
OBJECTIVES: To examine the effect of clinical characteristics on the prevalence of gestational diabetes mellitus (GDM) and to find the most effective screening program for GDM in Korea.



METHODS: Universal screening with a 50-g glucose load at 24-28 weeks' gestation, as recommended by the Third International Workshop-Conference on Gestational Diabetes Mellitus, was carried out among 3581 consecutive Korean women. Women with a 1-h plasma glucose > or = 130 mg/dl underwent a 3-h 100-g oral glucose tolerance test. The women's clinical characteristics and risk factors for GDM were recorded at the time of the screening test.



RESULTS: The overall prevalence of GDM in Korean women was 2.2 cases/100. Although only 1.3% of this population was obese, the prevalence of GDM was found to be significantly increased with increasing body mass index. When 135 mg/dl is used as a threshold, the number of women requiring a diagnostic test decreases to 19.5%, enabling identification of 98.8% of women with GDM.



CONCLUSION: Universal screening using 135 mg/dl as a threshold and early screening of those with two or more risk factors represent the most effective paradigm for Korea.
MeSH terms
AdultAge FactorsBody Mass IndexBody WeightCohort StudiesDiabetes, Gestational/*epidemiology/prevention & controlFemaleHumansKorea/epidemiology*Mass ScreeningPregnancyPrevalenceRisk Factors
PMID
8635631
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Obstetrics & Gynecology
Journal Papers > School of Medicine / Graduate School of Medicine > Preventive Medicine & Public Health
AJOU Authors
조, 남한오, 기석
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