705: Value of A1c in gestational diabetes

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Can overt diabetes mellitus be predicted by an early A1C value in gestational diabetics?

OBJECTIVE To test the hypothesis that a hemoglobin A1C value (A1C) in early pregnancy is predictive of overt diabetes mellitus (DM) postpartum in women with gestational diabetes (GDM). STUDY DESIGN In this case-control analysis of women with an early pregnancy diagnosis of GDM, we estimated the association between an early pregnancy A1C and subsequent diagnosis of DM. Women with a normal post...

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A1C in gestational diabetes mellitus in Asian Indian women.

G esta t ional diabetes mel l i tus (GDM) is defined as carbohydrate intolerance of varying degrees of severity with onset or first recognition during pregnancy. The current recommendation is to perform screening test between 24 and 26 weeks of gestation, although there are reports claiming that between 40 and 66% of women with GDM could be detected during early pregnancy (1,2). The policy of s...

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Glycohemoglobin A1c: A promising screening tool in gestational diabetes mellitus

CONTEXT Current screening tests for gestational diabetes mellitus (GDM) are inconvenient. Therefore, alternative screening tests for GDM are desirable. The use of glycohemoglobin A1c (HbA1c) in screening for GDM remains controversial. AIM We undertook this study to evaluate the utility of HbA1c in screening for GDM. SETTINGS AND DESIGN Retrospective study in a tertiary teaching hospital. ...

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Early screening of gestational diabetes mellitus using maternal hemoglobin A1C: Revision of current screening guidelines

Background: HbA1C has been a known predictor and diagnostic test for diabetes type 2. However, this test has not yet been widely studied in GDM and more importantly no cutoff point has been defined for HbA1C in GDM. We investigated the efficacy of screening during first and second trimester of pregnancy and defined appropriate cutoff points according to HbA1C and FBS for predicting maternal GDM...

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First Trimester Hemoglobin A1c Prediction of Gestational Diabetes.

Objective The objective of this study is to examine whether a first trimester hemoglobin A1c (A1C) of 5.7 to 6.4% predicts an abnormal second trimester oral glucose tolerance test (OGTT). Methods We conducted a retrospective cohort study of all women screened with A1C through 13 (6/7) weeks' gestation between January 1, 2011, and December 31, 2012. Prediabetic women (A1C of 5.7-6.4%) were compa...

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ژورنال

عنوان ژورنال: American Journal of Obstetrics and Gynecology

سال: 2020

ISSN: 0002-9378

DOI: 10.1016/j.ajog.2019.11.719