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• W2087730002 abstract "ObjectiveBlack and Hispanic race are known risk factors for developing gestational diabetes (GDM), and research suggests that birth weight varies by maternal race. However, the influence of race on blood sugar (BS) control in GDM is understudied. Our aim is to elucidate this relationship in order to better counsel and more appropriately manage our heterogeneous patient population.Study DesignRetrospective cohort of singleton pregnancies complicated by GDM at a single center from 2007-2012. Subjects with major medical illness, fetal anomalies, and undocumented race were excluded. Maternal race was classified as Non-Hispanic White, Non-Hispanic Black, or Hispanic. All women received diabetic education. The primary outcomes were classification of GDM (A1 vs. A2) and the number of prenatal visits where glycemic control was adequate (<50% of blood sugars above goals). Neonatal outcomes considered were birth weight, large for gestational age (LGA, >90th percentile on Alexander standard), and macrosomia (>4000g). Groups were compared using chi-squared and ANOVA tests. Logistic regression was used to account for confounding variables.Results671 subjects were included. Hispanic women were less likely to smoke, have pre-existing hypertension, or be obese then their non-Hispanic counterparts. After adjusting for obesity, Hispanic women were significantly more likely to be diet-controlled than their peers. When Hispanic patients required hypoglycemic agents, they were less likely to be initiated on insulin. Hispanic women had more visits where BS control was adequate and fewer hospital admissions. Despite their improved control, infants of Hispanic women tended to be slightly larger, and there was not a reduction in the risk for macrosomic or LGA infants.ConclusionTabled 1*Referent for AOR is NH White group. Open table in a new tab ObjectiveBlack and Hispanic race are known risk factors for developing gestational diabetes (GDM), and research suggests that birth weight varies by maternal race. However, the influence of race on blood sugar (BS) control in GDM is understudied. Our aim is to elucidate this relationship in order to better counsel and more appropriately manage our heterogeneous patient population. Black and Hispanic race are known risk factors for developing gestational diabetes (GDM), and research suggests that birth weight varies by maternal race. However, the influence of race on blood sugar (BS) control in GDM is understudied. Our aim is to elucidate this relationship in order to better counsel and more appropriately manage our heterogeneous patient population. Study DesignRetrospective cohort of singleton pregnancies complicated by GDM at a single center from 2007-2012. Subjects with major medical illness, fetal anomalies, and undocumented race were excluded. Maternal race was classified as Non-Hispanic White, Non-Hispanic Black, or Hispanic. All women received diabetic education. The primary outcomes were classification of GDM (A1 vs. A2) and the number of prenatal visits where glycemic control was adequate (<50% of blood sugars above goals). Neonatal outcomes considered were birth weight, large for gestational age (LGA, >90th percentile on Alexander standard), and macrosomia (>4000g). Groups were compared using chi-squared and ANOVA tests. Logistic regression was used to account for confounding variables. Retrospective cohort of singleton pregnancies complicated by GDM at a single center from 2007-2012. Subjects with major medical illness, fetal anomalies, and undocumented race were excluded. Maternal race was classified as Non-Hispanic White, Non-Hispanic Black, or Hispanic. All women received diabetic education. The primary outcomes were classification of GDM (A1 vs. A2) and the number of prenatal visits where glycemic control was adequate (<50% of blood sugars above goals). Neonatal outcomes considered were birth weight, large for gestational age (LGA, >90th percentile on Alexander standard), and macrosomia (>4000g). Groups were compared using chi-squared and ANOVA tests. Logistic regression was used to account for confounding variables. Results671 subjects were included. Hispanic women were less likely to smoke, have pre-existing hypertension, or be obese then their non-Hispanic counterparts. After adjusting for obesity, Hispanic women were significantly more likely to be diet-controlled than their peers. When Hispanic patients required hypoglycemic agents, they were less likely to be initiated on insulin. Hispanic women had more visits where BS control was adequate and fewer hospital admissions. Despite their improved control, infants of Hispanic women tended to be slightly larger, and there was not a reduction in the risk for macrosomic or LGA infants. 671 subjects were included. Hispanic women were less likely to smoke, have pre-existing hypertension, or be obese then their non-Hispanic counterparts. After adjusting for obesity, Hispanic women were significantly more likely to be diet-controlled than their peers. When Hispanic patients required hypoglycemic agents, they were less likely to be initiated on insulin. Hispanic women had more visits where BS control was adequate and fewer hospital admissions. Despite their improved control, infants of Hispanic women tended to be slightly larger, and there was not a reduction in the risk for macrosomic or LGA infants. ConclusionTabled 1*Referent for AOR is NH White group. Open table in a new tab *Referent for AOR is NH White group." @default.
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• W2087730002 date "2014-01-01" @default.
• W2087730002 modified "2023-10-16" @default.
• W2087730002 title "303: Does race affect glycemic control in gestational diabetes?" @default.
• W2087730002 doi "https://doi.org/10.1016/j.ajog.2013.10.336" @default.
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