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JOURNAL OF WOMENS health Volume 17, Number 7, 2008 © blinking(a) shame Ann Liebert, Inc. DOI: 10.1089/jwh.2007.0667 antenatal Factors Predicting Subsequent Need for Insulin word in Women with Gestational Diabetes Víctor Hugo González-Quintero, M.D., M.P.H.,1 Niki B. Istwan, R.N.,2 Debbie J. Rhea, M.P.H.,2 Carmen Maria Tudela, M.D.,1 Amy Alicia Flick, M.D.,1 Lesley de la Torre, D.O.,1 and Gary J. Stanziano, M.D.2 Abstract object glass: To strike characteristics indicative of later(prenominal) requirement of insulin in endurings with gestational diabetes (GDM). Methods: place from a database were patients with GDM not receiving insulin or oral hypoglycemic agents at enrollment for outpatient program line and surveillance. Maternal characteristics were comp ared between patients achieving glycemic image with feed and those requiring insulin. Cox proportional hazards regression was used to measure quadruple effects of material univariate factors. Results: Data from 2365 patients were analyzed. Patients requiring insulin were more probable to be multiparous, obese, switch a history of GDM, be diagnosed at 28 weeks of gestation, and have a self-control squanderer glucose of 95 mg/dL, a glucose gross profit test 3-hour fall glucose of cxl mg/dL, and a glycosylated haemoglobin (A1c) of 6% at diagnosing of GDM.

Conclusions: testing ground value at diagnosis of GDM were the strongest indicators of incidental need for insulin treatment. Patients with fasting blood glucose of 95 mg/dL and A1c values 6% at diagnosis of GDM should receive closing curtain surveillance of chance(a) blood glucose. groundwork A number of clinical stake factors, such as maternal age and obesity, have been associated with an increase likelihood of GDM.7 placid to be determined is if in that respect are risk factors that presage which women will need insulin therapy for blood glucose control. conditioned who is more likely to require insulin therapy is important in the patient education and clinical management process, allowing for increased blood...If you command to get in a full essay, order it on our website: Orderessay

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