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Gestasyonel Diyabetes Mellitus Prevalansı ve İlişkili Risk Etmenleri

Gestational Diabetes Mellitus Prevalence and Related Risk Factors

Journal Name:

  • Uludağ Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2008

Key Words:

Keywords (Original Language):

Author NameUniversity of Author
Abstract (2. Language): 
The aim of this cross – sectional study was to determine the prevalence of gestational diabetes mellitus (GDM) and to find out the risk factors that were related with GDM in Nilüfer Public Health Education and Research Area. The study was conducted between 1 February 2005 and 31 January 2007 and included 674 pregnant women. According to American Diabetes Association criteria, Glucose Challenge Test (GCT) was applied to high risk pregnant women as soon as they were detected, without taking the gestational age into account. Women without risk were tested between 24th- 28th weeks of gestation. For women with risk, if the first test was <140 mg/dl than a second test was done between the 24th – 28th weeks. If GCT was 140 mg/dl or higher, oral glucose tolerance test with 75gr glucose was applied. Obesity and glycosuria were significantly higher among pregnant women with GDM (Fischer p-0.004 and Fischer p< 0.001 respectively). GDM prevalence increased with age and body mass index (p<0.01 and p<0.01 respectively). Reduction of obesity might reduce GDM prevalence. In order to prevent obesity, it might be useful to inform married women aged 15 – 49 years and also pregnant women about healthy nutrition.
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Abstract (Original Language): 
Bu çalışma Nilüfer Halk Sağlığı Eğitim ve Araştırma Bölgesinde, gestasyonel diyabetes mellitus (GDM) prevalansı ve ilişkili risk etmenlerini saptamak amacıyla, 1 Şubat 2005-31 Ocak 2007 tarihleri arasındaki 2 yıllık sürede yapılan kesitsel bir çalışmadır. Çalışma 674 gebede yapılmıştır. Amerikan Diyabet Birliği kriterlerine göre yüksek riskli olarak değerlendirilen gebelere gebelik haftasına bakılmaksızın hemen, riskli olmayan gebelere de 24-28. gebelik haftasında 50 gram glukozla Glukoz Tarama Testi (GTT) yapılmıştır. Riskli gebelerde ilk yapılan GTT 140 mg/ dl’nin altında ise test 24-28. gebelik haftasında tekrarlanmıştır. GTT ≥140 mg/dl olan gebelere 75 gram glukozla oral glukoz tolerans testi uygulanmıştır. GDM’lu gebelerde şişmanlık ve glukozüri varlığı anlamlı olarak yüksek bulunmuştur (sırasıyla Fisher p-0.004 and Fisher p< 0.001). Yaş ve beden kütle indeksi arttıkça GDM prevalansı da artmaktadır (sırasıyla p<0.01; p<0.01). Şişmanlığın azaltılması GDM prevalansını azaltabilir. Şişmanlığın önlenmesi için 15-49 yaş evli kadınlara ve gebelere izlemler sırasında sağlıklı beslenme eğitimi verilmesi yararlı olabilir.
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  • 3
93-96
  • Turkish

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