Gestational Diabetes Screening During Pregnancy

Yıl 2015, Cilt: 24 Sayı: 3, 348 - 354, 14.09.2015

Cihan Çetin , Cansun Demir

https://doi.org/10.17827/aktd.64098

Öz

Gestational diabetes is a type of diabetes that is diagnosed during pregnancy in patients who do not have pregestational diabetes. Unless diagnosed and treated on time, it may cause various maternal, fetal and neonatal complications like macrosomia, polyhydramniosis, preterm labor, in utero ex fetus, infections, neonatal metabolic complications. The diagnosis of gestational diabetes stands on singlestep or two-step screening/diagnosis strategies. These screening and diagnosis tests should be well known by physicians who are taking care of pregnants.

Anahtar Kelimeler

Diabetes, gestational; pregnancy; glucose tolerance test

Gebelikte Gestasyonel Diyabet Taraması

Öz

Gestasyonel diyabet, gebelikten öncesi diyabeti olmayan hastalarda gebelikte ortaya çıkan diyabet türüdür. Uygun zamanda tanı konup tedavi edilmediği takdirde birçok maternal, fetal ve neonatal komplikasyona yol açabilmektedir. Bunlar arasında makrozomi, polihidramnios, preterm doğum, in utero ölü fetüs, enfeksiyonlar, neonatal metabolik komplikasyonlar sayılabilir. Gestasyonel diyabet tanısının temelinde tek basamaklı veyaiki basamaklı tarama ve tanı testleri bulunur. Bu tarama ve tanı testleri gebe takibi yapan tüm hekimler tarafından iyi bilinmeli ve sonuçları iyi değerlendirilebilmelidir.

Anahtar Kelimeler

Gebelik diyabeti, gebelik, oral glukoz tolerans testi

Kaynakça

• Gabbe SG, Niebyl JR, Simpson JL, Landon MB, Galan HL, Jauniaux ERM, Driscoll DA. Obstetrics Normal and Problem Pregnancies. 6th ed. Philadelphia, Elsevier, 2012.
• Metzger BE, Buchanan TA, Coustan DR, de Leiva A, Dunger DB, Hadden DR et al. Summary and recommendations of the Fifth International Workshop-Conference on Gestational Diabetes Mellitus. Diabetes Care. 2007;30:251-60.
• Crowther CA, Hiller JE, Moss JR, McPhee AJ, Jeffries WS, Robinson JS et al. Effect of treatment of gestational diabetes mellitus on pregnancy outcomes. N Engl J Med. 2005;352:2477-86.
• Landon MB, Spong CY, Thom E, Carpenter MW, Ramin SM, Casey B et al. A multicenter, randomized trial of treatment for mild gestational diabetes. N Engl J Med. 2009;361:1339-48.
• Danilenko-Dixon DR, Van Winter JT, Nelson RL, Ogburn PL, Jr. Universal versus selective gestational diabetes screening: application of 1997 American Diabetes Association recommendations. Am J Obstet Gynecol. 1999;181:798-802.
• Donovan L, Hartling L, Muise M, Guthrie A, Vandermeer B, Dryden DM. Screening tests for gestational diabetes: a systematic review for the U.S. Preventive Services Task Force. Ann Intern Med. 2013;159:115-22.
• Uncu G, Ozan H, Cengiz C. The comparison of 50 grams glucose challenge test, HbA1c and fructosamine levels in diagnosis of gestational diabetes mellitus. Clin Exp Obstet Gynecol. 1995;22:230-4.
• Agarwal MM, Hughes PF, Punnose J, Ezimokhai M, Thomas L. Gestational diabetes screening of a multiethnic, high-risk population using glycated proteins. Diabetes Res Clin Pract. 2001;51:67-73.
• Agarwal MM, Dhatt GS, Punnose J, Koster G. Gestational diabetes: a reappraisal of HBA1c as a screening test. Acta Obstet Gynecol Scand. 2005;84:1159-63.
• Rajput R, Yogesh Y, Rajput M, Nanda S. Utility of HbA1c for diagnosis of gestational diabetes mellitus. Diabetes Res Clin Pract. 2012;98:104-7.
• Sonmez A, Kutlu M. Gestasyonel diyabet güncel tarama ve tanı yöntemleri. Turkiye Klinikleri J Endocrinol-Special Topics. 2010;3:1-5.
• Canadian Diabetes Association Clinical Practice Guidelines Expert Committee, Thompson D, Berger H, Feig D, Gagnon R, Kader T et al. Diabetes and pregnancy. Can J Diabetes. 2013;37:168- 83.
• Carpenter MW, Coustan DR. Criteria for screening tests for gestational diabetes. Am J Obstet Gynecol. 1982;144:768-73.
• International Association of Diabetes and Pregnancy Study Groups Consensus Panel, Metzger BE, Gabbe SG, Persson B, Buchanan TA, Catalano PA et al. International association of diabetes and pregnancy study groups recommendations on the diagnosis and classification of hyperglycemia in pregnancy. Diabetes care. 2010;33:676-82.
• Classification and diagnosis of diabetes mellitus and other categories of glucose intolerance. National Diabetes Data Group. Diabetes. 1979;28:1039-57.
• Correspondence Address / Yazışma Adresi