شيوع ديابت بارداري در زنان جوان

The prevalence of gestational diabetes mellitus in young women

Introduction: Gestational diabetes mellitus (GDM) is a disorder of carbohydrate metabolism, first diagnosed during pregnancy. This study aims to determine the prevalence of GDM in young pregnant women. Materials and Methods: Two thousand one hundred pregnant women referred to five university hospital clinics, 1043 under 25 years old. Previously known diabetic patients were excluded from the study. Universal screening was performed with a 50 gram 1-hour glucose challenge test (GCT). Those with plasma glucose levels ? 130 mg/dL underwent a 100 gram 3-hour glucose tolerance test to diagnose GDM according to Carpenter and Coustan criteria. Family and obstetric histories were taken followed by a complete physical examination. Results: Among the 1209 young pregnant women (mean age+SD 20.97± 2.1, years), 27 (2.23%) were detected to have GDM (mean age +SD 21.11±1.85 years). Of the GDM patients, 14.81% were obese, 22.22% had glycosuria. Among GDM patients, 16 (59.25%) did not have any recognized risk factors. Conclusion: High prevalence of gestational diabetes mellitus in young Iranian pregnant women may suggest revision of the appropriateness of criteria for GDM screening.