期刊
DIABETES CARE
卷 41, 期 7, 页码 1339-1342出版社
AMER DIABETES ASSOC
DOI: 10.2337/dc17-2393
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资金
- Danish Foundation for Scientific Innovation and Technology [09-067180]
- Ronald McDonald Children Foundation
- Engineer K.A. Rohde's and Wife's Legacy Foundation
- Odense University Hospital
- Region of Southern Denmark
- Municipality of Odense
OBJECTIVETo define the prevalence and pregnancy outcomes related to elevated fasting venous plasma glucose (FVPG) in a Danish pregnancy cohort.RESEARCH DESIGN AND METHODSThis was an observational cohort study including 1,516 women without gestational diabetes mellitus (GDM) by Danish criteria. FVPG measured at 28 weeks' gestation was related to pregnancy outcomes.RESULTSWith use of the World Health Organization (WHO) 2013 threshold of FVPG 5.1 mmol/L, 40.1% of the cohort qualified as having GDM. There was no evidence of excess fetal growth, hypertension in pregnancy, or cesarean delivery in women with FVPG <5.6 mmol/L.CONCLUSIONSThe WHO 2013 FVPG threshold for GDM is unsuitable for Denmark. It inappropriately labels as having GDM an unmanageably large number of women who are at low absolute risk of pregnancy complications.
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