Proundly Supported by
Pfizer Foundation
    Home | Current Issue | Past Issue | Board | Instruction | Contact


Prevalence of Gestational Diabetes Mellitus (GDM) in Women Screened by Glucose Challenge Test (GCT) at Maharaj Nakorn Chiang Mai Hospital

1141

Pharuhas Chanprapaph MD*,
Chatdao Sutjarit MD*

* Department of Obstetrics and Gynecology, Faculty of Medicine, Chiang Mai University

Abstract


Objective : To assess the prevalence of GDM in GCT screened women at Maharaj Nakorn Chiang Mai Hospital.
Study design : Retrospective descriptive study.
Setting : Department of Obstetric and Gynecology, Maharaj Nakorn Chiang Mai Hospital.
Material and Method : One thousand pregnant women who attended the antenatal care clinic and delivered at Maharaj Nakorn Chiang Mai Hospital from October 2001 to December 2002 were recruited into the study. Glucose challenge test (GCT), 50-g glucose oral load with 1-hr plasma glucose measurement, was performed in GDM high-risk pregnancies. If GCT was positive, oral glucose tolerance test (OGTT), 100-g glucose orally, was done to confirm the final diagnosis. All relevant data including demographic information, previous obstetric history, risk factors for GDM, GCT and OGTT results and pregnancy outcomes were collected for further statistical analysis.
Main Outcome Measures : Prevalence of GDM in GCT screened women, obstetric complications and pregnancy outcomes.
Results : There were totally 1,000 pregnancies enrolled into the study. Despite 451 pregnant women being eligible for GCT, only 411 cases were tested with 164 positive results. 29 cases of GDM were detected with the prevalence of 7.05%. (CI 95% = 0.048, 0.099). As a result, the sensitivity, specificity, positive predictive value, and negative predictive value of GCT were 100%, 64.66%, 17.68% and 0%, respectively. In the GDM group, the common indications for GCT screening were advanced maternal age (75.4%), familial diabetic history (22.1%) and glycosuria (6.8%). Furthermore, only 1 case of pregnancy-induced hypertension was found with cesarean section, preterm birth, LGA and SGA of 27.6%, 10.3%, 3.45% and 13.79%, respectively. There were 2 cases of pregestational diabetes mellitus (PGD; 0.2%) with 40 high-risk pregnancies (4%) without screening.
Conclusion : The selective GCT screening strategy was highly effective and revealed 7.05% of GDM prevalence. Its impact on obstetric complication and pregnancy outcome was inconclusive due to the small number of studied population. Careful history reviewing plays an important role in identifying GDM risk factor for GCT screening.

Keyword : Gestational diabetes mellitus (GDM), Prevalence of GDM, Glucose challenge test (GCT), Oral glucose tolerance test (OGTT), Selective screening strategy



Download Full Paper
  Vol87_No10_1141.pdf  [ 83.05 Kb]

Home | Current Issue | Past Issue | Board | Instruction | Contact

© Copyright The Medical Association of Thailand. All Rights Reserved.2001-2002
Acquista Cialis generico 5 mg Effetti collaterali del Cialis 5 mg Acquista Cialis 20mg online Prezzo di Cialis originale in Svizzera Acquista Viagra in Svizzera senza prescrizione Dove comprare Cialis 10mg Viagra in farmacia online effetti collaterali Costo di Cialis 5mg Opiniones de Reduslim Acquista Spedra Avanafil senza prescrizione Acquista Viagra in Svizzera senza prescrizione Comprar Cialis original Comprar Viagra Contrareembolso Cialis 5mg Viagra sin receta Cialis 5 mg efectos secundarios graves Reduslim precio Trastorno de la ereccin venta de tadalafilo avanafil prezzo cialis 20 mg prezzo cialis effetti benefici cialis 10 mg Reduslim Kaufen pulse crypto price prediction avanafil 100 mg prezzo buy cialis or generic tadalafil 9 http://diplomsagroups.com https://gosznac-diploma.com/ http://sreestrom.ru/ http://originality-diplomy.com https://russian-diplom.com 9 http://russdiplomiki.com https://diplomansy.com 11 https://diploms-asx.com http://diplomrussian.com 11 https://rudiplomisty24.com/ https://russiany-diploman.com/ https://land-diplom.com/ 11 https://kyc-diplom.com http://diploms-service.com https://originaly-dokuments.com https://diplomy-grup24.com/ http://aurus-diploms.com/kupit-diplom-stroitelya.html 9 https://diplomansy.com/kupit-diplom-s-reestrom http://diploms-service.com/diplomy-po-gorodam/novosibirsk 11 http://diplomyland.com/ https://premialnie-diplomansy.com https://diplomiki.com
https://aurus-diplomany.com
https://russiany-diplomana.com
https://originality-diplomik.com
https://lands-diplomy.com
https://okdiplom.com/
https://nsk-diplom.com/
https://ry-diplom.com/
https://diploms-vuza.com/
https://diplom-bez-problem.com/
https://kazdiplomas.com/
https://diplomoz-197.com/
https://kupit-diplomyz24.com/
https://prodiplome.com/
https://diplom5.com/
https://10000diplomov.ru/
https://1magistr.ru/
https://diplom-insti.ru/
https://kdiplom.ru/
https://diplom45.ru/
https://diplom-zakaz.ru/
https://peoplediplom.ru/
https://diplom-profi.ru/
https://bisness-diplom.ru/
https://kupite-diplom0024.ru/
11
11
11
https://diploman-asx.com
11
https://rudiplomirovany.com
https://premialnie-diploms.com
https://diplomans-doc.com
https://russiany-diplom.com
https://diplomy-gruppa.com
https://rudiplomis.com
https://rudiplomisty.com/
https://lands-diploms.com
https://originality-diploman.com
https://originality-diplomx24.com
https://originality-diploms24.com
https://originality-diploma24.com
https://originality-diploman24.com
https://originality-diplomans24.com
https://originality-diplomik24.com
https://originality-diplomix24.com
https://originality-diplomas24.com
9
https://originality-diplomiks24.com
https://originality-diplomiki24.com
https://ru-diplomirovan.com
https://ru-diplomirovany.com
www.ru-diplomirovanay.com
https://ru-diplomirovannie.com
rudiplomir.com
rudiplomirs.com
www.rudiplomira.com
rudiplomiry.com
https://rudiplomiru.com
ab-diplom24.ru
www.ab-diplom24.ru
http://www.24diplom07.ru
http://landik-attestats365.com
http://study-diploms.com}
9
11
9
http://diplomsagroups.com/kupit-diplom-o-srednem-obrazovanii/diplom-o-srednem-i-srednem-specialnom-obrazovanii.html
11
http://diplomsagroups.com/kupit-attestat-shkoly.html
https://premialnie-diplomansy.com/----/
https://premialnie-diplomansy.com/----/
https://premialnie-diplomansy.com/--/
https://russiany-diplomans.com/attestat-9-klassov
https://russiany-diplomans.com/srednee-spetsialnoe-obrazovanie
https://russiany-diplomans.com/kupit-diplom-kolledzha
https://russiany-diplomans.com/diplom-magistra
http://lands-diploms.com/ http://lands-diploms.com/specialnosti/yurist.html http://lands-diploms.com/goroda/krasnodar.html http://lands-diploms.com/goroda/omsk.html http://lands-diploms.com/goroda/chelyabinsk.html
http://aurus-diploms.com/attestat-9-klass.html http://aurus-diploms.com/obrazovanie/kupit-diplom-s-zaneseniem-v-reestr.html http://aurus-diploms.com/diplom-magistra.html http://aurus-diploms.com/geography/kupit-diplom-v-samare.html
http://radiploma.com/kupit-diplom-s-reestrom http://radiploma.com/kupit-diplomy-tehnikuma-kolledzha http://radiploma.com/kupit-diplomy-o-srednem-tehnicheskom-obrazovanii http://radiploma.com/kupit-diplom-kosmetologa
https://aurus-diplomans.com http://www.diplomas-asx.com https://diplomana-asx.com www.rusd-diplom.com https://rusd-diploms.com https://aurus-diplomany.com https://aurus-diplomik.com www.aurus-diplomas.com https://diplomans-asx.com diplomany-asx.com http://www.diplomys-asx.com https://diploman-servise.com http://www.radiploms.com http://www.radiplom.com radiplomy.com radiploma.com rudiplomisty24.com/--- http://www.rudiplomisty24.com/--- www.rudiplomisty24.com/--- rudiplomisty24.com/--
www.originality-diploman.com/----- originality-diploman.com/- originality-diploman.com/- www.originality-diploman.com/--
www.gosznac-diplomy.com/kupit-diplom-o-srednem-texnicheskom-obrazovanii www.gosznac-diplomy.com/diplom-spetcialista https://gosznac-diplomy.com/kupit-diplom-v-cheliabinske
diploman-asx.com/kupit-diplom-moskva https://diploman-asx.com/otzyvy http://www.diploman-asx.com/kupit-diplom-bakalavra-ili-specialista https://diploman-asx.com/kupit-diplom-specialista
11
http://www.diplom-belarus.com
diplomi-price.com
edu-digest.ru
http://proobzh.ru
http://www.edu-nt.ru/
http://www.student-madi.ru
http://dof-edu.ru
9
http://proobzh.ru
www.krsk-school47.ru http://www.russdiplomik.com/kupit-diplom-v-moskve.html russdiplomik.com/diplom-farmaczevta.html russdiplomik.com/diplom-s-reestrom-o-vyisshem-obrazovanii.html http://www.russdiplomik.com/kupit-diplom-v-novosibirske.html
http://www.russdiplomik.com/diplom-czena.html www.russdiplomik.com/diplom-farmaczevta.html russdiplomik.com/kupit-diplom-sankt-peterburg.html russdiplomik.com/kupit-diplom-v-ekaterinburge.html https://russiany-diplomans.com/diplom-o-srednem-obrazovanii http://www.russiany-diplomans.com/kupit-diplom-vracha www.russiany-diplomans.com/kupit-diplom-ekaterinburg http://www.russiany-diplomans.com/kupit-diplom-pskov https://arena-diplom24.com/attestaty https://arena-diplom24.com/diplomy-po-spetsialnosti/diplom-yurista https://ryazan.arena-diplom24.com/ http://www.novorossijsk.arena-diplom24.com/ www.diploms-goznak.com/attestat-vechernej-shkoly http://diploms-goznak.com/kupit-diplom-v-dnepropetrovske http://www.diploms-goznak.com/kupit-diplom-v-zhitomire http://diploms-goznak.com/kupit-diplom-v-zaporozhe - www.diploms-goznak.com/kupit-diplom-v-odesse diploms-goznak.com/vrach www.diploms-goznak.com/diplom-uchilishcha www.diploms-goznak.com/diplom-starogo-obraztsa http://www.diploms-goznak.com/diplom-tekhnikuma-kolledzha diploms-goznak.com/farmatsevt diploms-goznak.com/yurist http://diploms-goznak.com/meditsinskij-diplom diploms-goznak.com/svidetelstvo-o-rozhdenii
https://diplomy-servise.com
diploman-dok.com
diploman-doks.com
diploman-doky.com
www.diploman-doku.com http://education-ua.com/kupit-legalnyij-diplom-v-ukraine.html
www.education-ua.com/attestat-diplom.html
education-ua.com/zaporozhe.html
education-ua.com/kieve.html
http://education-ua.com/odesse.html
http://education-ua.com/summah.html
9
http://education-ua.com/ternopole.html
education-ua.com/diplom-o-mediczinskom-obrazovanii.html
http://www.education-ua.com/diplom-vyisshee.html
http://education-ua.com/kupit-nastoyashhij-diplom-goznak.html
http://www.education-ua.com/
education-ua.com/diplom-texnikuma-kolledzha.html
education-ua.com/diplom-magistra-ukrainskogo-vuza.html
http://www.education-ua.com/diplom-o-mediczinskom-obrazovanii.html
http://www.education-ua.com/diplom-medsestry.html
www.education-ua.com/diplom-nedorogo.html
http://education-ua.com/kupit-diplom-novogo-obrazca.html
www.education-ua.com/otzivi-pogelania.html
www.education-ua.com/diplom-vyisshee.html
http://education-ua.com/diplom-uchilishha.html
http://education-ua.com/diplom-s-registracziej.html
http://www.education-ua.com/kupit-diplom-s-provodkoj-v-ukraine.html
http://www.education-ua.com/diplom-specialista-ukrainskogo-vuza.html
http://www.education-ua.com/diplom-uchilishha.html
http://www.education-ua.com/kupit-diplom-sssr-na-nastoyashhem-blanke.html
http://education-ua.com/svidetelstvo-o-rozhdenii.html
11
http://education-ua.com/svidetelstvo-o-smerti.html
education-ua.com/svidetelstvo-o-brake.html
www.education-ua.com/svidetelstvo-o-razvode.html http://rudiplomisty24.com/-11- https://diplomy-servise.com http://dipplomy.com www.egpu.ru http://vina-net.ru/ cursovik.ru www.spravkipiter.ru alcoself.ru www.school625.ru www.moek-college.ru www.mmcmedclinic.ru www.intimvisit.ru http://med-pravo.ru/ http://moskva-medcentr.ru/ intim-72.ru razigrushki.ru www.dgartschool.ru www.ftbteam.ru http://sb26.ru/ http://www.originaly-dokuments.com/attestaty/attestat-za-9-klass https://originaly-dokuments.com/diplom-o-srednem-spetsialnom-obrazovanii https://originaly-dokuments.com/gorod/nizhnij-tagil https://originaly-dokuments.com/gorod/vologda www.originaly-dokuments.com/gorod/saratov https://originaly-dokuments.com/spetsialnosti/yurist originaly-dokuments.com/spetsialnosti/povar www.originaly-dokuments.com/gorod/krasnodar originaly-dokuments.com/attestaty/attestat-za-11-klass http://www.originaly-dokuments.com/gorod/ekaterinburg www.originaly-dokuments.com/attestaty https://originaly-dokuments.com/spetsialnosti/bukhgalter www.originaly-dokuments.com/gorod/omsk originaly-dokuments.com/gorod/novosibirsk www.originaly-dokuments.com/gorod/sankt-peterburg originaly-dokuments.com/gorod/chelyabinsk www.originaly-dokuments.com/gorod/orjol originaly-dokuments.com/diplom-o-vysshem-obrazovanii/diplom-bakalavra originaly-dokuments.com/diplom-o-vysshem-obrazovanii/diplom-magistra www.originaly-dokuments.com/spetsialnosti/menedzher https://originaly-dokuments.com/diplom-o-srednem-spetsialnom-obrazovanii/diplom-kolledzha https://originaly-dokuments.com/diplom-o-srednem-spetsialnom-obrazovanii
- - - -- - - premialnie-diplomansy.com https://premialnie-diplomansy.com/--/ www.premialnie-diplomansy.com www.originality-diploman.com originality-diploman.com https://originality-diploman.com/-- originality-diploman.com https://originality-diploman.com/-- https://originality-diploman.com/---- www.originality-diploman.com http://https://originality-diploman.com/-- premialnie-diplomansy.com originality-diploman.com www.premialnie-diplomansy.com premialnie-diplomansy.com https://premialnie-diplomansy.com/--/ https://premialnie-diplomansy.com/--/ www.premialnie-diplomansy.com www.premialnie-diplomansy.com http://https://originality-diploman.com/--
9
www.gosznac-diplomy.com http://https://gosznac-diplomy.com/kupit-diplom-vuza-rossii http://https://gosznac-diplomy.com/diplom-sredne-spetcialnoe-obrazovanie http://https://gosznac-diplomy.com/kupit-diplom-v-moskve gosznac-diplomy.com gosznac-diplomy.com https://gosznac-diplomy.com/svidetelstvo-o-rozhdenii http://https://gosznac-diplomy.com/diplom-feldshera gosznac-diplomy.com https://gosznac-diplomy.com/diplom-stroitelya
9 9 11
originality-diplomans.com
rudiplomis24.com
www.diploma-asx.com
https://gosznac-diplom.com/ diploman-doci.com
https://originality-diplomans.com/
www.rudiplomis24.com
https://lands-diplom.com/
https://gosznac-diplom.com/ http://https://aurus-diplom.com/
https://originality-diplomans.com/
https://rudiplomista24.com/
www.diploma-asx.com
https://gosznac-diplom.com/ https://aurus-diplom.com/
http://https://originality-diplomans.com/
https://rudiplomista24.com/
https://lands-diplom.com/
www.gosznac-diplom.com http://https://aurus-diplom.com/
http://diplomsagroups.com/diplomy-po-specialnosti/diplom-buhgaltera.html www.originality-diploman24.com https://originality-diplomans.com/ https://originality-diploma24.com/- http://https://frees-diploma.com https://ekaterinburg.arena-diplomi24.com/ http://https://ekaterinburg.arena-diplomi24.com/