Use of a screening blood sugar test to increase the identification of gestational diabetes

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Publication Type thesis
School or College College of Nursing
Department Nursing
Author Dixon, Lynn Rogalla
Title Use of a screening blood sugar test to increase the identification of gestational diabetes
Date 1980-08
Description Abnormal carbohydrate metabolism frequently first appears in women during pregnancy as a transient condition. This form of latent diabetes mellitus is termed gestational diabetes. Diabetes is pregnancy, either overt or gestational, poses an increased risk to both mother and fetus. Fortunately such risks have been greatly reduced by advances in the treatment of this complication. Obviously, the implementation and the effectiveness of special antenatal care is dependent on an accurate and early diagnosis. However, the identification of gestational diabetics is inherently difficult because these women frequently lack the clinical symptoms and signs associated with overt diabetes mellitus. The purpose of this study was to examine the effectiveness of a one-hour blood sugar test as a method to detect gestational diabetes, and to compare its effectiveness to that of the more commonly used screening criteria - family history of diabetes, previous large infant, previous poor obstetrical history, and maternal obesity. In addition, maternal age and parity was examined to determine their usefulness in predicting the development of gestational diabetes. This retrospective study was based on an examination of the medical records of 630 women, 531 of whom were administered a one-hour blood sugar test in addition to being screened for gestational diabetes by traditional methods. Seven gestational diabetics were identified through the use of a one-hour glucose screening test, and five of these seven prenatal patients also had traditional screening factors present. The remaining two patients representing 29 percent of the gestational diabetics were identified solely by the one-hour test. A maternal age of 25 year or more was the only factor which demonstrated a significant association with gestational diabetes. Macrosomia, which was not correlated with gestational diabetes, was however significantly associated with maternal obesity, maternal weight gain of greater than 30 pounds during pregnancy, maternal age of 25 year or more, and a past history of large infants.
Type Text
Publisher University of Utah
Subject Diagnosis; Screening
Subject MESH Diabetes, Gestational; Pregnancy; Glucose Tolerance Test
Dissertation Institution University of Utah
Dissertation Name MS
Language eng
Relation is Version of Digital reproduction of "The Use of a screening blood sugar test to increase the identification of gestational diabetes." Spencer S. Eccles Health Sciences Library. Print version of "The Use of a screening blood sugar test to increase the identification of gestational diabetes." available at J. Willard Marriott Library Special Collection. RC 39.5 1980 D59.
Rights Management © Lynn Rogalla Dixon.
Format Medium application/pdf
Format Extent 1,183,846 bytes
Identifier undthes,4783
Source Original: University of Utah Spencer S. Eccles Health Sciences Library (no longer available).
Master File Extent 1,183,903 bytes
ARK ark:/87278/s62809cj
Setname ir_etd
Date Created 2012-04-24
Date Modified 2012-04-24
ID 191156
Reference URL https://collections.lib.utah.edu/ark:/87278/s62809cj