Screening and diagnosis of diabetes in children and pregnant women

doi:10.1016/S0168-8227(14)70731-4

Chia Nan University of Pharmacy & Science Institutional Repository > 環境永續暨休閒學院 > 職業安全衛生系(含防災所) > 期刊論文 > Item 310902800/28686

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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.
關聯:	Diabetes Research and Clinical Practice, v.106, pp.S288-S290
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