Vascular effects of gestational diabetes can be recognized by carotid intima-media thickness: a prospective case-control study

Gestational diabetes mellitus (GDM) is a systemic disease that has poor maternal and fetal health outcomes. Patients who are diagnosed with GDM more likely to encounter cardiovascular system diseases during pregnancy after birth. Carotid intima-media thickness (CIMT) used as an early indicator of such coronary artery disease. This study aims define the effects hyperglycemia at term using CIMT, doppler flows in patients GDM. The included 132 pregnant women had reached 24th gestational week. (GDM group n=65, Control n=67) Comparisons were performed between similar demographic characteristics received 100-gr oral glucose test (OGT) diagnosis did not. participants’ routine hemograms biochemical tests done OGT. Fetal biometrics, amniotic fluid index, uterine flow, bilateral CIMT measurements obstetric examinations. Gravida, para, live birth rates participants higher than those control (p=0.003, 0.002, 0.002 respectively). index was found be (p<0.001). Fasting values platelet counts (p=0.031 p<0.001). Other laboratory data demonstrated no statistically meaningful differences groups (p>0.05). When compared, umbilical pulsatility discovered (p=0.509). While right (UtA) (p<0.001), significant terms left UtA (p=0.485). Right CIMTs (p=0.001, p<0.001, p<0.001 there positive correlation thrombocyte level resistance (r=0.336, p=0.006; r=0.397, p=0.044 respectively), correlations group. inflammation, increased CIMT. It been shown, levels thrombocytosis patients. Uterine could inflammation