期刊
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
卷 119, 期 7, 页码 891-894出版社
WILEY-BLACKWELL
DOI: 10.1111/j.1471-0528.2012.03325.x
关键词
Gestational diabetes; postpartum reclassification
资金
- Instituto de Salud Carlos III [FIS PS09/02152]
- Fondos FEDER
- CIBER de Diabetes y Enfermedades Metabolicas asociadas CIBERDEM [CB07/08/0012]
- IISPV
Please cite this paper as: Megia A, Naf S, Herranz L, Serrat N, Yanez R, Simon I, Vendrell J. The usefulness of HbA1c in postpartum reclassification of gestational diabetes. BJOG 2012;119:891894. To investigate the role of HbA1c in postpartum reclassification of gestational diabetes (GDM) we studied 364 women with GDM attending the postpartum reclassification assessment of their glucose tolerance status. A 75-g oral glucose tolerance test (OGTT) was performed and HbA1c was determined. Diabetes was diagnosed in 12 (3.3%), 7 (1.9%) and 2 (0.6%) women according to the fasting plasma glucose (FPG) and/or the 2-hour OGTT, the FPG alone and HbA1c levels, respectively. The sensitivity and specificity for HbA1c to diagnose diabetes was 16.7% and 100%, respectively, for FPG and OGTT criteria. The combination of a cutoff value of 5.5% for HbA1c and FPG allowed us to identify 95.1% of women with any kind of glucose intolerance. We conclude that in the early postpartum period, the cutoff of 6.5% for HbA1c alone has low sensitivity for the diagnosis of diabetes compared with OGTT, but the combination of FPG and HbA1c at a lower cutoff value is very useful to identify women with any kind of glucose intolerance.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据