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ORIGINAL ARTICLE
Year : 2011  |  Volume : 15  |  Issue : 3  |  Page : 191-193

Gestational diabetes mellitus is rare in primigravida Pakistani women


Department of Medicine, Jinnah-Allama Iqbal Institute of Diabetes and Endocrinology (JAIDE), Allama Iqbal Medical College, Lahore, Pakistan

Correspondence Address:
Ali Jawa
Allama Iqbal Medical College, Jinnah Hospital, Lahore 54550
Pakistan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2230-8210.83404

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Background: Gestational diabetes mellitus is a metabolic disorder defined as glucose intolerance with onset or first recognition during pregnancy. Similar to other members of the Asian race, Pakistani women are also considered to be at a high risk for developing gestational diabetes. Materials and Methods: In order to better understand whether this heightened risk attributed to race really exists, we conducted a prospective study to assess the glycemic status of primigravida women presenting to our hospital. Results: The mean age of 135 subjects enrolled was 22 (16-31), with 21 (16%), 60 (44%), and 54 (40%) subjects in the first, second, and third trimesters of pregnancy, respectively. The mean fasting, 1-hour, and 2-hour plasma glucose levels were 69.9 mg/dL (3.9 mmol/L), 129 mg/dL (7.2 mmol/L), and 103.6 mg/dL (5.76 mmol/L), respectively. Of 135 women, 6 had a blood pressure reading ≥140/90 mm Hg and only one met the criteria for gestational diabetes mellitus. In our study, despite using the newly proposed International Association of Diabetes and Pregnancy Study (IADPS) cut-offs for diagnosis of gestational diabetes, the incidence rate of gestational diabetes mellitus in primigravida was still <1%. Conclusion: Larger trials are needed to truly assess the disease burden of gestational diabetes mellitus in Pakistani women.


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