IJERPH, Vol. 17, Pages 3109: High Prevalence of Gestational Diabetes Mellitus in Rural Tanzania —Diagnosis Mainly Based on Fasting Blood Glucose from Oral Glucose Tolerance Test

IJERPH, Vol. 17, Pages 3109: High Prevalence of Gestational Diabetes Mellitus in Rural Tanzania—Diagnosis Mainly Based on Fasting Blood Glucose from Oral Glucose Tolerance Test International Journal of Environmental Research and Public Health doi: 10.3390/ijerph17093109 Authors: Louise Groth Grunnet Line Hjort Daniel Thomas Minja Omari Abdul Msemo Sofie Lykke Møller Rashmi B. Prasad Leif Groop John Lusingu Birgitte Bruun Nielsen Christentze Schmiegelow Ib Christian Bygbjerg Dirk Lund Christensen Gestational diabetes mellitus (GDM) is associated with poor pregnancy outcomes and increased long-term risk of metabolic diseases for both mother and child. In Tanzania, GDM prevalence increased from 0% in 1991 to 19.5% in 2016. Anaemia has been proposed to precipitate the pathogenesis of GDM. We aimed to examine the prevalence of GDM in a rural area of Tanzania with a high prevalence of anaemia and to examine a potential association between haemoglobin concentration and blood glucose during pregnancy. The participants were included in a population-based preconception, pregnancy and birth cohort study. In total, 538 women were followed during pregnancy and scheduled for an oral glucose tolerance test (OGTT) at week 32–34 of gestation. Gestational diabetes mellitus was diagnosed according to the WHO 2013 guidelines. Out of 392 women screened, 39% (95% CI: 34.2–44.1) had GDM, the majority of whom (94.1%) were diagnosed based s...
Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Tags: Article Source Type: research