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    Please use this identifier to cite or link to this item: http://ir.cnu.edu.tw/handle/310902800/28686


    標題: Screening and diagnosis of diabetes in children and pregnant women
    作者: Li, Hung-Yuan
    Wei, Jung-Nan
    Chuang, Lee-Ming
    Wu, En-Tzu
    Lee, Chien-Nan
    貢獻者: 職業安全衛生系
    關鍵字: Screening
    Diagnosis
    Diabetes
    Children
    Gestational diabetes
    日期: 2014-12
    上傳時間: 2015-05-06 21:25:09 (UTC+8)
    出版者: Elsevier Ireland Ltd
    摘要: The incidence and prevalence of diabetes in children has increased in recent decades. The findings of a nationwide screening program in Taiwan show that type 2 diabetes has replaced type 1 diabetes as the leading cause of diabetes in children and adolescents. Important risk factors for diabetes in children are high or low birth weights, obesity, and a family history of diabetes. The incidence of diabetes reaches plateaus during puberty. Therefore, we have developed a strategy to screen seventh-grade children with diabetes based on urinalysis and a risk score. Gestational diabetes is associated with various adverse perinatal outcomes, particularly macrosomia and birth injury, and a higher rate of Cesarean section. The 100 g oral glucose tolerance test (OGTT) for gestational diabetes was initially designed to predict maternal diabetes after delivery, and was revised by Carpenter and Coustan to predict adverse fetal outcomes. In 2010, the International Association of the Diabetes and Pregnancy Study Groups (IADPSG) proposed a 75 g OGTT to define gestational diabetes, resulting in a significant increase in the prevalence of gestational diabetes. Our data suggest that adopting the new IADPSG criteria is reasonable, since they reduce adverse perinatal outcomes and are cost-efficient. (C) 2014 Elsevier Ireland Ltd. All rights reserved.
    Appears in Collections:[職業安全衛生系(含防災所)] 期刊論文

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