OBJECTIVE The extent to which pregnant women are screened for gestational diabetes mellitus (GDM) at the population level is not known. We examined the rate, type, and timing of GDM screening and diagnostic testing in the province of Alberta, Canada. Geographic and temporal differences in screening rates, and maternal risk factors associated with lower likelihood of screening, were also determi...

BACKGROUND This study investigated postpartum metabolic abnormality in women with previous gestational diabetes mellitus (GDM) and predictive factors for postpartum glucose intolerance. METHODS From March 2001 to February 2003, 127 prior-GDM women underwent a 75g oral glucose tolerance test (OGTT) and metabolic assessment at least six weeks after delivery. To identify the predictors, clinical...

OBJECTIVE We investigated the pattern of common risk factors present in women undergoing oral glucose tolerance test (OGTT) in our center and to determine their relationship with time of presentation for the test. MATERIALS AND METHODS The records of women referred to the metabolic clinic for OGTT over a 1-year period were reviewed. Data available for retrieval included age, gravidity and ges...

While it is not possible to issue a guideline for the best method of screening, the use of a 75 g OGTT instead of an OGCT as first line of testing for women from high risk populations will avoid the inconvenience of further testing for both women and staff. Afternoon or evening clinics may be better advised to screen women using an OGCT (rather than an OGTT) because women are not required to fa...

Objective. Fetuin-A has been associated with gestational diabetes mellitus (GDM). We investigated fetuin-A levels during and after pregnancy in women with GDM. Fetuin-A measurements were performed in 10 women with GDM and 10 age and body mass index (BMI) matched healthy pregnant women. All women underwent an oral glucose tolerance test (OGTT) in and 3 months after gestation. Results. Fasting fe...

background: pregnant women with previous gestational diabetes mellitus are at increased risk of progressive carotid artery disorders. the current study evaluated carotid intima-media thickness (imt) in pregnant women with gestational diabetes at two time points of mid-term and full-term pregnancy to determine whether gestational diabetes mellitus causes increased imt. methods: this cross-sectio...

OBJECTIVE To propose new cutoffs in plasma glucose levels in screening and diagnosis of gestational diabetes mellitus (GDM) in the first trimester of pregnancy. METHODS A 50-gram oral glucose challenge test (GCT) was performed in 1,716 singleton pregnancies at 6-14 weeks' gestation. In those with a positive GCT, a 100-gram glucose tolerance test (GTT) was carried out. The GCT and as necessary...

Design: Pregnant women between 16 and 30 weeks of gestation at 18 collaborating centres were screened for insulin intolerance. Those having 1 or more risk factors for gestational diabetes or who had results from a 50-g oral glucose challenge test (defined as ≥ 7.8 mmol/L at 1 h) underwent a 75-g oral glucose tolerance test at 24–34 weeks’ gestation. Healthy women with a fasting plasma-glucose m...

OBJECTIVE To examine the association between breastfeeding intensity in relation to maternal blood glucose and insulin and glucose intolerance based on the postpartum 2-h 75-g oral glucose tolerance test (OGTT) results at 6-9 weeks after a pregnancy with gestational diabetes mellitus (GDM). RESEARCH DESIGN AND METHODS We selected 522 participants enrolled into the Study of Women, Infant Feedi...