Murat AYDIN, Ahmet GÜREL, Cem ÇELİK, Feti TULUBAŞ, Remzi ABALI, AHSEN YILMAZ

Namık Kemal Üniversitesi Araştırma ve Uygulama Hastanesinde Gestasyonel Diyabetes Mellitus Prevalansı

Giriş: Her yıl önemli sayıda kadını etkileyen Gestasyonel diabetes mellitus (GDM) hem gebeler hem de bebekleri için istenmeyen sağlık problemlerine yol açmaktadır. Bu çalışma, Namık Kemal Üniversitesi Araştırma ve Uygulama Hastanesinde Gestasyonel Diyabetes Mellitus prevalansını değerlendirmeyi ve diğer çalışmaların sonuç- larıyla karşılaştırmayı amaçlamaktadır. Materyal ve Metot: Ocak 2010 ile Mayıs 2013 tarihleri arasında 2428 Haftalık gebelik süresinde Namık Kemal Üniversitesi Araştırma ve Uygulama Hastanesinde kabul edilen gebeler çalışmaya dahil edildi. Yapılan dosya taramasında 502 gebeye 50 gram Glukoz Yükleme Testi (GYT) uygulandığı, test sonuçlarına göre bunların 29una da 100 gram Oral Glukoz Tolerans Testi (OGTT) yapıldığı tespit edildi. Bulgular: Gebelerin tamamına yapılan 50 g Glukoz Yükleme Testi 29 olguda pozitif olarak bulundu. Tarama testi yapılan gebelerin 13 tanesinde 100 g OGTT pozitif olarak değerlendirilmiş ve hastanemize başvuran gebelerin gestasyonel diyabet prevelansı Carpenter ve Caustan kriterlerine göre %2,59 bulunmuştur. Sonuçlar: Gestasyonel diabetes mellitus prevalansı Namık Kemal Üniversitesi Araştırma ve Uygulama Hastanesinde Türkiyenin diğer bölgelerinden rapor edilen epidemiyolojik çalışmalara göre daha düşük bulundu.

(The prevalence of gestational diabetes mellitus in NamÕk Kemal University Training and Research Hospital)

Background: Gestational diabetes mellitus (GDM) affects a significant number of women each year and it is associated with a wide range of adverse outcomes for pregnants and their babies. The present study aimed to evaluate the prevalence of Gestational diabetes mellitus in NamÕk Kemal University Training and Research Hospital and to compare the results of other studies. Material and Methods: From January 2010 to May 2013, patients admitted to gynecology clinic with 2428 week pregnancy were studied. A glucose challenge test (GCT) was given to 502 pregnant women and based on the results 29 went on to take an oral glucose tolerance test (OGTT). Results: 502 pregnant women tested, Fifty gram Glucose Challenge Test was performed on all pregnant women which was positive only in 29 cases, and in 13 of them 100 gram oral glucose tolerance test was positive The prevalence of gestational diabetes in pregnant women who were admitted to our hospital was 2.59% according to Carpenter and Caustan diagnostic criteria Conclusions: The prevalence of Gestational diabetes mellitus was found to be lower in in NamÕk Kemal University Training and Research Hospital rather than the other regions of Turkey as reported in epidemiological studies.

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