Gestational diabetes mellitus in a hospital in the city of Buenos Aires, Argentina: incidence, treatment, and frequency of screening for reclassification after childbirth
Introduction: Gestational diabetes mellitus (GDM) is defined as glucose intolerance diagnosed during pregnancy. This pathology can be associated with maternal and feto-neonatal complications, both in the short and long term. The prevalence of GDM in Argentina (based on the diagnostic criteria of the...
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2022
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/36734 |
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I10-R327-article-36734 |
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Universidad Nacional de Córdoba |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
diabetes gestational incidence cohort studies diabetes gestacional incidencia estudios de cohortes diabetes gestacional incidência estudos de coortes |
| spellingShingle |
diabetes gestational incidence cohort studies diabetes gestacional incidencia estudios de cohortes diabetes gestacional incidência estudos de coortes Pagotto, Vanina Posadas Martínez, María Lourdes Salzberg, Susana Pochettino, Pablo Andrés Gestational diabetes mellitus in a hospital in the city of Buenos Aires, Argentina: incidence, treatment, and frequency of screening for reclassification after childbirth |
| topic_facet |
diabetes gestational incidence cohort studies diabetes gestacional incidencia estudios de cohortes diabetes gestacional incidência estudos de coortes |
| author |
Pagotto, Vanina Posadas Martínez, María Lourdes Salzberg, Susana Pochettino, Pablo Andrés |
| author_facet |
Pagotto, Vanina Posadas Martínez, María Lourdes Salzberg, Susana Pochettino, Pablo Andrés |
| author_sort |
Pagotto, Vanina |
| title |
Gestational diabetes mellitus in a hospital in the city of Buenos Aires, Argentina: incidence, treatment, and frequency of screening for reclassification after childbirth |
| title_short |
Gestational diabetes mellitus in a hospital in the city of Buenos Aires, Argentina: incidence, treatment, and frequency of screening for reclassification after childbirth |
| title_full |
Gestational diabetes mellitus in a hospital in the city of Buenos Aires, Argentina: incidence, treatment, and frequency of screening for reclassification after childbirth |
| title_fullStr |
Gestational diabetes mellitus in a hospital in the city of Buenos Aires, Argentina: incidence, treatment, and frequency of screening for reclassification after childbirth |
| title_full_unstemmed |
Gestational diabetes mellitus in a hospital in the city of Buenos Aires, Argentina: incidence, treatment, and frequency of screening for reclassification after childbirth |
| title_sort |
gestational diabetes mellitus in a hospital in the city of buenos aires, argentina: incidence, treatment, and frequency of screening for reclassification after childbirth |
| description |
Introduction: Gestational diabetes mellitus (GDM) is defined as glucose intolerance diagnosed during pregnancy. This pathology can be associated with maternal and feto-neonatal complications, both in the short and long term. The prevalence of GDM in Argentina (based on the diagnostic criteria of the Latin American Diabetes Association (ALAD), is estimated between 7.5-10% of pregnant women. Information in Argentina on the incidence of GDM is scarce. The objective of this work was to estimate the incidence of GDM, evaluate its treatment and the frequency of screening for postpartum reclassification of diabetes in a population of pregnant women treated at a private hospital in the city of Buenos Aires. Materials and methods: Retrospective cohort of pregnant women evaluated at the Hospital Italiano de Buenos Aires, Argentina between 2015 and 2018. Results: The cumulative incidence of GDM was 7.6% (95% CI 7.0-8, two). All patients received nutritional advice (food plan). Of the total number of pregnant women studied 229 (39.3%) required pharmacological treatment; Of these, 97 patients received insulin (16.7%) and 132 metformin (22.7%). Regarding the follow-up of the pathology, between six weeks and one year postpartum, 267 women (45.9%) underwent diabetes screening for reclassification. Screening frequency was higher in the insulin-treated group. Of the patients who underwent screening, 36 women (13.5%) had impaired fasting blood glucose, 16 women (6.0%) had impaired glucose tolerance, and 3 women (1.1%) were diagnosed with type 2 diabetes mellitus. two.Of these, 36 women (13.5%) had impaired fasting blood glucose, 16 women (6.0%) had impaired glucose tolerance, and 3 women (1.1%) were diagnosed with type 2 diabetes mellitus. Conclusion: GDM incidence was 7.6%. Less than half of the women diagnosed with GDM required pharmacological treatment. The frequency of diabetes screening up to one year postpartum for reclassification was similar to that reported. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2022 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/36734 |
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I10-R327-article-367342022-09-29T15:53:58Z Gestational diabetes mellitus in a hospital in the city of Buenos Aires, Argentina: incidence, treatment, and frequency of screening for reclassification after childbirth Diabetes mellitus gestacional en un hospital de la Ciudad de Buenos Aires, Argentina: incidencia, tratamiento, y frecuencia de tamizaje para reclasificación luego del parto Diabetes mellitus gestacional em um hospital de la Ciudad de Buenos Aires, Argentina : incidência, tratamento e frequência de tamizaje para reclassificação luego del parto Pagotto, Vanina Posadas Martínez, María Lourdes Salzberg, Susana Pochettino, Pablo Andrés diabetes gestational incidence cohort studies diabetes gestacional incidencia estudios de cohortes diabetes gestacional incidência estudos de coortes Introduction: Gestational diabetes mellitus (GDM) is defined as glucose intolerance diagnosed during pregnancy. This pathology can be associated with maternal and feto-neonatal complications, both in the short and long term. The prevalence of GDM in Argentina (based on the diagnostic criteria of the Latin American Diabetes Association (ALAD), is estimated between 7.5-10% of pregnant women. Information in Argentina on the incidence of GDM is scarce. The objective of this work was to estimate the incidence of GDM, evaluate its treatment and the frequency of screening for postpartum reclassification of diabetes in a population of pregnant women treated at a private hospital in the city of Buenos Aires. Materials and methods: Retrospective cohort of pregnant women evaluated at the Hospital Italiano de Buenos Aires, Argentina between 2015 and 2018. Results: The cumulative incidence of GDM was 7.6% (95% CI 7.0-8, two). All patients received nutritional advice (food plan). Of the total number of pregnant women studied 229 (39.3%) required pharmacological treatment; Of these, 97 patients received insulin (16.7%) and 132 metformin (22.7%). Regarding the follow-up of the pathology, between six weeks and one year postpartum, 267 women (45.9%) underwent diabetes screening for reclassification. Screening frequency was higher in the insulin-treated group. Of the patients who underwent screening, 36 women (13.5%) had impaired fasting blood glucose, 16 women (6.0%) had impaired glucose tolerance, and 3 women (1.1%) were diagnosed with type 2 diabetes mellitus. two.Of these, 36 women (13.5%) had impaired fasting blood glucose, 16 women (6.0%) had impaired glucose tolerance, and 3 women (1.1%) were diagnosed with type 2 diabetes mellitus. Conclusion: GDM incidence was 7.6%. Less than half of the women diagnosed with GDM required pharmacological treatment. The frequency of diabetes screening up to one year postpartum for reclassification was similar to that reported. Introducción: La diabetes mellitus gestacional (DMG) se define como la intolerancia a la glucosa diagnosticada en el embarazo. Esta patología puede asociarse a complicaciones maternas y feto-neonatales, tanto a corto como a largo plazo. La prevalencia de DMG en Argentina (basada en el criterio diagnóstico de la Asociación Latinoamericana de Diabetes (ALAD), se estima entre 7,5-10% de las mujeres embarazadas. Es escasa la información en Argentina sobre la incidencia de DMG. El objetivo de este trabajo fue estimar la incidencia de DMG, evaluar su tratamiento y la frecuencia de tamizaje para reclasificación postparto de la diabetes en una población de mujeres embarazadas atendidas en un hospital privado de la ciudad de Buenos Aires. Materiales y métodos: cohorte retrospectiva de embarazadas evaluadas en el Hospital Italiano de Buenos Aires, Argentina entre los años 2015 a 2018. Resultados: La incidencia acumulada de DMG fue 7,6 % (IC 95% 7,0-8,2). Todas las pacientes recibieron consejo nutricional (plan alimentario). Del total de embarazadas estudiadas requirieron tratamiento farmacológico 229 (39.3%); recibieron insulina 97 (16,7%) y 132 metformina (22,7%). En cuanto al seguimiento de la patología, entre las seis semanas y el año postparto realizaron tamizaje de diabetes para reclasificación 267 mujeres (45,9%). La frecuencia de tamizaje fue mayor en el grupo tratado con insulina. De las pacientes que realizaron el tamizaje, presentaron glucemia alterada en ayuno 36 mujeres (13,5%), tolerancia a la glucosa alterada 16 mujeres (6,0%) y 3 mujeres (1,1%) fueron diagnosticadas con diabetes mellitus tipo 2. Conclusión: la incidencia de DMG fue 7,6%. Menos de la mitad de las mujeres diagnosticadas con DMG requirió tratamiento farmacológico. La frecuencia de tamizaje de diabetes hasta el año postparto para la reclasificación similar a la reportada. Introdução: O diabetes mellitus gestacional (DMG) é definido como a intolerância à glicose diagnosticada durante a gravidez. Esta patologia pode estar associada a complicações maternas e feto-neonatais, tanto a curto como a longo prazo. A prevalência de DMG na Argentina (com base nos critérios diagnósticos da Associação Latino-Americana de Diabetes (ALAD) é estimada entre 7,5-10% das gestantes. As informações na Argentina sobre a incidência de DMG são escassas. O objetivo deste trabalho foi estimar a incidência de DMG, avaliar seu tratamento e a frequência de rastreamento para reclassificação pós-parto de diabetes em uma população de gestantes atendidas em um hospital privado da cidade de Buenos Aires. Materiais e métodos: coorte retrospectiva de gestantes avaliadas no Hospital Italiano de Buenos Aires, Argentina entre 2015 e 2018. Resultados: A incidência cumulativa de DMG foi de 7,6% (IC 95% 7,0-8,2). Todos os pacientes receberam orientação nutricional (plano alimentar). Do total de gestantes estudadas, 229 (39,3%) necessitaram de tratamento farmacológico; 97 (16,7%) receberam insulina e 132 metformina (22,7%). Em relação ao seguimento da patologia, entre seis semanas e um ano pós-parto, 267 mulheres (45,9%) foram submetidas ao rastreamento do diabetes para reclassificação. A frequência de triagem foi maior no grupo tratado com insulina. Dos pacientes que realizaram a triagem, 36 mulheres (13,5%) apresentavam glicemia de jejum alterada, 16 mulheres (6,0%) tinham tolerância à glicose diminuída e 3 mulheres (1,1%) foram diagnosticadas com diabetes mellitus tipo 2. Conclusão: o a incidência de DMG foi de 7,6%. Menos da metade das mulheres diagnosticadas com DMG necessitaram de tratamento farmacológico. A frequência de rastreamento de diabetes até um ano pós-parto para reclassificação foi semelhante à relatada. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2022-09-16 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion text texto texto text/html application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/36734 10.31053/1853.0605.v79.n3.36734 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 79 No. 3 (2022); 248-253 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 79 Núm. 3 (2022); 248-253 Revista da Faculdade de Ciências Médicas de Córdoba; v. 79 n. 3 (2022); 248-253 1853-0605 0014-6722 10.31053/1853.0605.v79.n3 spa https://revistas.unc.edu.ar/index.php/med/article/view/36734/38732 https://revistas.unc.edu.ar/index.php/med/article/view/36734/38759 Derechos de autor 2022 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0 |