Engin Burak SELCUK, Ayşe KAFKASLI, Ayşe SERTKAYA

Evaluation of Blood Glucose Profile and Perinatal Outcomes in Pregnant with Different Levels of Glucose Intolerance

Amaç: Bu çalışmanın amacı farklı düzeylerde glukoz intoleransı gösteren gebelerde kan şekeri profilleri ve perinatal sonuçlarını karşılaştırarak gebelerin takip ve tedavilerine katkıda bulunmaktır. Materyal ve Metot: Gebe Polikliniği'ne müracaat eden 24-28. gebelik haftaları arasında ki gebelere 50 gram Glukoz Tolerans Testi (GTT) yapıldı ve sonucu pozitif olanlara 100 gram Oral Glukoz Tolerans Testi (OGTT) yapıldı. Test sonucuna göre gebeler Normal, Anormal Glukoz Tolerans Testi (AGTT) olanlar ve gestasyonel diyabeti (GDM) olanlar olarak 3 gruba ayrıldı. Her üç grupta demografik veriler, GTT ve OGTT sonuçları, doğum öncesi ve doğum sonrası kan şekeri profilleri, perinatal sonuçlar ve maternal komplikasyonlar yönünden kendi aralarında değerlendirildi. Bulgular: AGTT görülme sıklığı % 17,42 olarak bulunurken, GDM görülme sıklığı % 14,57 olarak bulundu. Gebelik öncesi ve 50 gram GTT sırasındaki vücut kitle indeksi (VKİ) yönünden karşılaştırıldığında, AGTT grubunda, normal gruba göre yüksek bulundu (p

Farklı Düzeylerde Glukoz İntoleransı Bulunan Gebelerin Kan Şekeri Profilleri ve Perinatal Sonuçlarının Değerlendirilmesi

Objectives: The aim of this study is to contribute to the monitoring and treatment in pregnant women with different levels of glucose intolerance by comparing blood glucose profiles and perinatal outcomes.Materials and Methods: A 50-gram Glucose Tolerance Test (GTT) was performed on pregnant women between 24th and 28th weeks of pregnancy who admitted to the outpatient clinic followed by a 100gram OGTT on those who tested positive with 50 g GTT. The patients were allocated into three groups according to the test results as Normal, Abnormal Glucose Challenge Test (AGCT) and Gestational Diabetes Mellitus (GDM). All groups were evaluated in terms of demographic data, GTT and OGTT results, prenatal and postnatal blood glucose profiles, maternal complications, and perinatal outcomes. Results: The prevalence of AGCT was found to be 17.42% while GDM was 14.57%. When compared as to prepregnancy and during 50 g OGTT values, the body mass index (BMI) was found significantly higher in AGTT group than the normal group (p

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