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- W2024446896 abstract "To determine if patients with gestational diabetes (GDM) and a significantly elevated glucose challenge test (GCT) or fasting value on glucose tolerance test (GTT) are at increased risk for adverse pregnancy outcome. A retrospective review of patients with GDM was performed. GDM was diagnosed if the GCT was >200 mg/dL, or 2 or more elevations on the GTT (fasting, 1-, 2-, and 3-hr values of 95, 180, 155, and 140, respectively). Patients were stratified into 3 groups: Group1 (fasting glucose <95), Group 2 (fasting >95), and Group 3 (GCT >200). Chart review was performed to assess pregnancy outcome. Pregnancy outcome values included the need for insulin, birthweight, birthweight > 4000 gm, and mode of delivery. Statistical analysis was completed using the Fischer's exact test. Pregnancy outcomes were reviewed for 229 patients with GDM. Comparison of the need for insulin in pregnancy, mean birthweight, birthweight > 4000 gm, and incidence of cesarean delivery revealed no statistically significant difference between the three groups. A sub-analysis comparing patients from Groups 2 and 3 (fasting > 95 or GCT > 200) with Group 1 (fasting<95) demonstrated an increase in the incidence of birthweight > 4000 gm (18% versus 8%, P 0.071) and delivery by cesarean section (88% versus 45%, P 0.067). Pregnancies complicated by a significantly elevated GCT or an elevated fasting value on the GTT are more likely to result in a birthweight > 4000 gm and a cesarean delivery.Tabled 1Pregnancy outcomeFasting <95 (n = 62)Fasting >95 (n = 107)GCT >200 (n = 60)P valueInsulin54%50%61%0.30Birthweight (gm)3367±4623516±5383451±6290.20Birthweight > 4000 gm5%19%9%0.20C/S45%56%32%0.18 Open table in a new tab" @default.
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- W2024446896 date "2003-12-01" @default.
- W2024446896 modified "2023-09-27" @default.
- W2024446896 title "The significance of an elevated fasting value on the glucose tolerance test and a markedly elevated glucose challenge test in assessing pregnancy outcome" @default.
- W2024446896 doi "https://doi.org/10.1016/j.ajog.2003.10.171" @default.
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