Screening for gestational diabetes mellitus in Korea

H. C. Jang*, N. H. Cho, K. B. Jung, K. S. Oh, S. L. Dooley, B. E. Metzger

*Corresponding author for this work

Research output: Contribution to journalArticle

37 Scopus citations

Abstract

Objectives: To examine the effect of clinical characteristics on the prevalence of gestational diabetes mellitus (GDM) and to find the most effective screening program for GDM in Korea. Methods: Universal screening with a 50-g glucose load at 24-28 weeks' gestation, as recommended by the Third International Workshop-Conference on Gestational Diabetes Mellitus, was carried out among 3581 consecutive Korean women. Women with a 1-h plasma glucose ≥ 130 mg/dl underwent a 3-h 100-g oral glucose tolerance test. The women's clinical characteristics and risk factors for GDM were recorded at the time of the screening test. Results: The overall prevalence of GDM in Korean women was 2.2 cases/100. Although only 1.3% of this population was obese, the prevalence of GDM was found to be significantly increased with increasing body mass index. When 135 mg/dl is used as a threshold, the number of women requiring a diagnostic test decreases to 19.5%, enabling identification of 98.8% of women with GDM. Conclusion: Universal screening using 135 mg/dl as a threshold and early screening of those with two or more risk factors represent the most effective paradigm for Korea.

Original languageEnglish (US)
Pages (from-to)115-122
Number of pages8
JournalInternational Journal of Gynecology and Obstetrics
Volume51
Issue number2
DOIs
StatePublished - Nov 1995

Keywords

  • Gestational diabetes mellitus
  • Prevalence
  • Screening

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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