Abnormal Glucose Tolerance and Pregnancy Outcomes in Women Without Diagnosis of Gestational Diabetes Mellitus
ACOG ePoster. Jones T.
Apr 27, 2018; 211982
Tiffany Jones
Tiffany Jones
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Abstract
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Introduction: Maternal hyperglycemia and untreated GDM lead to adverse perinatal outcomes. This study aims to determine whether abnormal 1-hour GCT alone or one elevated 3-hour GTT value are associated with adverse perinatal outcomes.

Methods: Retrospective cohort study of all pregnant women who had diabetic screening from January 2015 to December 2016 at the University of Illinois at Chicago (UIC. These singleton pregnancies were classified into 4 groups: normal 1-hour GCT, abnormal 1-hour GCT only, one elevated value on 3-hour GTT, and GDM. Baseline characteristics and pregnancy outcome of the four groups were compared. Chi square, one-way ANOVA and Student's t-test were used.

Results: Of the 4658 deliveries during study the period, 497 women met inclusion criteria. There were 120 women with normal 1-hour GCT, 179 with abnormal 1-hour GCT only, 69 with one elevated value on 3-hour OGTT, and 129 diagnosed with GDM. The GDM patients were significantly older, heavier, gained more weight and delivered earlier (p-value:
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