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https://www.readbyqxmd.com/read/28409688/effect-of-exercise-during-pregnancy-to-prevent-gestational-diabetes-mellitus-a-systematic-review-and-meta-analysis
#1
Ying Yu, Rongrong Xie, Cainuo Shen
INTRODUCTION: Exercise showed some potential in preventing gestational diabetes mellitus. However, the results remained controversial. We conducted a systematic review and meta-analysis to evaluate the impact of exercise during pregnancy on gestational diabetes mellitus. METHODS: PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases were systematically searched. Randomized controlled trials (RCTs) assessing the influence of exercise during pregnancy on gestational diabetes mellitus were included...
April 14, 2017: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/28404514/postpartum-glucose-testing-related-factors-and-progression-to-abnormal-glucose-tolerance-in-a-rural-population-with-a-known-history-of-gestational-diabetes
#2
Haydeh Ghajari, Sedigheh Nouhjah, Hajieh Shahbazian, Rohollah Valizadeh, Noorollah Tahery
AIMS: Gestational diabetes is a strong risk factor for postpartum progression to glucose intolerance. The aims of the study were to determine rate of postpartum glucose testing , its related factors and rate of progression to glucose intolerance in women who underwent postpartum glucose testing after pregnancy that complicated by gestational diabetes. MATERIALS: this is a retrospective study and women with gestational diabetes who received prenatal care during 2005-2015 in 3 rural health centers of Khuramshahr (southwestern of Iran) were enrolled...
April 3, 2017: Diabetes & Metabolic Syndrome
https://www.readbyqxmd.com/read/28384264/risk-factor-screening-to-identify-women-requiring-oral-glucose-tolerance-testing-to-diagnose-gestational-diabetes-a-systematic-review-and-meta-analysis-and-analysis-of-two-pregnancy-cohorts
#3
Diane Farrar, Mark Simmonds, Maria Bryant, Debbie A Lawlor, Fidelma Dunne, Derek Tuffnell, Trevor A Sheldon
BACKGROUND: Easily identifiable risk factors including: obesity and ethnicity at high risk of diabetes are commonly used to indicate which women should be offered the oral glucose tolerance test (OGTT) to diagnose gestational diabetes (GDM). Evidence regarding these risk factors is limited however. We conducted a systematic review (SR) and meta-analysis and individual participant data (IPD) analysis to evaluate the performance of risk factors in identifying women with GDM. METHODS: We searched MEDLINE, Medline in Process, Embase, Maternity and Infant Care and the Cochrane Central Register of Controlled Trials (CENTRAL) up to August 2016 and conducted additional reference checking...
2017: PloS One
https://www.readbyqxmd.com/read/28353315/comparison-of-leukocyte-il6-expression-in-patients-with-gestational-diabetes-mellitus-gdm-diagnosed-by-the-polish-diabetes-association-pda-2011-and-2014-criteria
#4
Katarzyna Mac-Marcjanek, Andrzej Zieleniak, Lucyna Woźniak, Monika Źurawska-Kliś, Katarzyna Cypryk, Piotr Okła, Marzena Wójcik
INTRODUCTION: Controversial data exist in the literature regarding relationship of IL-6 with gestational diabetes mellitus (GDM), partially resulting from different criteria for GDM classification. In the present study, we revised this linkage by investigating leukocyte IL6 expression and its associations with clinical characteristics of patients diagnosed by the Polish Diabetes Association (PDA) 2011 and 2014 criteria. MATERIALS AND METHODS: 145 pregnant women underwent a 75 g 2-h OGTT and GDM was diagnosed according to the PDA 2011 and 2014 recommendations...
March 29, 2017: Endokrynologia Polska
https://www.readbyqxmd.com/read/28337930/an-evaluation-of-two-different-screening-criteria-in-gestational-diabetes-mellitus
#5
M Tonguc, A T Tayyar, I Muderris, F Bayram, S Muhtaroglu, M Tayyar
BACKGROUND: The objective of this study was to identify the gestational diabetes mellitus (GDM) prevalence difference according to American Diabetes Association (ADA) criteria and International Association of Diabetes and Pregnancy Study Group (IADPSG) criteria for 75 g oral glucose tolerance test (OGTT). METHODS: This study was conducted at Erciyes University Department of Obstetrics and Gynecology. A total of 320 pregnant who met the criteria were included in the study and 75 g OGTT was applied...
March 24, 2017: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/28323969/early-pregnancy-associated-plasma-protein-a-concentrations-are-associated-with-third-trimester-insulin-sensitivity
#6
Clive J Petry, Ken K Ong, Ieuan A Hughes, Carlo L Acerini, Jan Frystyk, David B Dunger
Context: First or early second trimester pregnancy-associated plasma protein-A (PAPP-A) concentrations have previously been shown to be lower in women who subsequently develop gestational diabetes (GDM) and gestational hypertension. Objective: We therefore sought to investigate why circulating PAPP-A concentrations are related to the subsequent risk of GDM and gestational hypertension. Patients, Design and Setting: We measured serum PAPP-A concentrations around week 15 of pregnancy and related these to indices derived from week 28 oral glucose tolerance tests (OGTT) and blood pressures across pregnancy in the Cambridge Baby Growth Study cohort...
March 13, 2017: Journal of Clinical Endocrinology and Metabolism
https://www.readbyqxmd.com/read/28279981/in-utero-exposure-to-maternal-hyperglycemia-increases-childhood-cardiometabolic-risk-in-offspring
#7
Wing Hung Tam, Ronald Ching Wan Ma, Risa Ozaki, Albert Martin Li, Michael Ho Ming Chan, Lai Yuk Yuen, Terence Tzu Hsi Lao, Xilin Yang, Chung Shun Ho, Gregory Emanuele Tutino, Juliana Chung Ngor Chan
OBJECTIVE: The objective of this study was to evaluate the effect of maternal hyperglycemia during pregnancy on cardiometabolic risk in offspring during early childhood. RESEARCH DESIGN AND METHODS: A total of 970 mothers who had joined the Hyperglycemia and Adverse Pregnancy Outcome study were reevaluated, together with their child born during the study period, 7 years after delivery. RESULTS: Offspring born to mothers diagnosed with gestational diabetes mellitus (GDM), as defined by World Health Organization 2013, had higher rates of abnormal glucose tolerance (4...
March 9, 2017: Diabetes Care
https://www.readbyqxmd.com/read/28277125/role-of-serum-levels-of-irisin-and-oxidative-stress-markers-in-pregnant-women-with-and-without-gestational-diabetes
#8
Betül Usluoğullari, Celil Alper Usluogullari, Fevzi Balkan, Mustafa Orkmez
Irisin regulates glucose levels, lipid levels, insulin sensitivity, and low-grade inflammation. Gestational diabetes mellitus (GDM) is a common metabolic complication of pregnancy, and is associated with increased rates of perinatal problems. Oxidative stress biomarkers have a role in the pathogenesis of patients with GDM. In total, 94 patients were included in our study including 46 control patients and 48 patients with GDM. Fasting blood glucose, HOMA-IR, total oxidative stress (TOS), irisin, and oxidative stress index (OSI) levels of the patients were measured...
February 26, 2017: Gynecological Endocrinology
https://www.readbyqxmd.com/read/28193233/tacrolimus-in-the-prevention-of-adverse-pregnancy-outcomes-and-diabetes-associated-embryopathies-in-obese-and-diabetic-mice
#9
Ahmad J H Albaghdadi, Melanie A Hewitt, Samantha M Putos, Michael Wells, Terence R S Ozolinš, Frederick W K Kan
BACKGROUND: T2DM is a high-risk pregnancy with adverse fetal and maternal outcomes including repeated miscarriages and fetal malformations. Despite the established association between placental insufficiency and poor maternal Th1-adaptability to the development of pregnancy complications in T2DM, there have been no established data to assess benefits of pre-pregnancy immunosuppression relative to gestational outcomes in T2DM. We hypothesized that pre-pregnancy macrolide immune suppression can re-establish normal placental development and uterine vascular adaptation in a mouse model of obesity-associated T2DM...
February 13, 2017: Journal of Translational Medicine
https://www.readbyqxmd.com/read/28161191/laboratory-diagnosis-of-gestational-diabetes-an-in-silico-investigation-into-the-effects-of-pre-analytical-processing-on-the-diagnostic-sensitivity-and-specificity-of-the-oral-glucose-tolerance-test
#10
Erin Mansell, Helen Lunt, Paul Docherty
INTRODUCTION: Delayed separation of red cells from plasma causes pre analytical glucose loss, which in turn results in an under-diagnosis of GDM (gestational diabetes) based on the OGTT (oral glucose tolerance test). In silico investigations may help laboratory decision making, when exploring pragmatic improvements to sample processing. METHODS: Late pregnancy 0, 1 and 2h 75g OGTT values were obtained from two distinct populations of pregnant women: 1. Values derived from the HAPO (Hyperglycemia and Adverse Pregnancy Outcome) Study and 2...
February 2, 2017: Clinical Biochemistry
https://www.readbyqxmd.com/read/28129477/higher-maternal-serum-prolactin-levels-are-associated-with-reduced-glucose-tolerance-during-pregnancy
#11
Elif I Ekinci, Niloufar Torkamani, Sabashini K Ramchand, Leonid Churilov, Ken A Sikaris, Zhong X Lu, Christine A Houlihan
It is unknown if high prolactin levels during pregnancy contribute to the development of gestational diabetes. We hypothesized that higher prolactin levels are associated with reduced glucose tolerance, as determined by higher 2-hour glucose level from an oral glucose tolerance test (OGTT) in pregnancy. 75 gram OGTT was performed at 28 weeks of gestation in 69 participants. A multiple regression analysis was used to determine the relationship between serum prolactin and 2-hour glucose levels. Multivariable regression analysis demonstrated an independent and significant relationship between third trimester prolactin and 2-hour glucose levels post OGTT...
January 27, 2017: Journal of Diabetes Investigation
https://www.readbyqxmd.com/read/28105546/gestational-diabetes-mellitus-gdm-relationship-between-higher-cutoff-values-for-100%C3%A2-g-oral-glucose-tolerance-test-ogtt-and-insulin-requirement-during-pregnancy
#12
Jessica Ares, Alicia Martín-Nieto, Lucía Díaz-Naya, Teresa Tartón, Teresa Menéndez-Prada, Cecilia S Ragnarsson, Elías Delgado-Álvarez, Edelmiro Menéndez-Torre
Objectives To study if there is any relationship about higher cutoff values for 100 g oral glucose tolerance test and the need for insulin in women diagnosed with gestational diabetes. Materials and Methods This is a retrospective population-based study of 201 women diagnosed with Gestational Diabetes Mellitus (GDM) between January 2012 and June 2014 in the area of Oviedo, Asturias, Spain. According to diagnostic criteria recommended by GEDE, NDDG, gestational diabetes is diagnosed if two or more plasma glucose levels meet or exceed the following threshold: fasting glucose of 105 mg/dl, 1-h 190 mg/dl, 2-h 165 mg/dl, or 3-h 145 mg/dl...
January 19, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/28095377/associations-of-maternal-leptin-with-neonatal-adiposity-differ-according-to-pregravid-weight
#13
Julie Patenaude, Guillaume Lacerte, Marilyn Lacroix, Laetitia Guillemette, Catherine Allard, Myriam Doyon, Marie-Claude Battista, Julie Moreau, Julie Ménard, Jean-Luc Ardilouze, Patrice Perron, Marie-France Hivert
BACKGROUND: During pregnancy, maternal circulating leptin is released by maternal adipose tissue and the placenta, and may have a role in fetal development. OBJECTIVES: We investigated maternal leptinemia and glycemia associations with neonatal adiposity, taking into account pregravid weight status. METHODS: We included 235 pregnant women from the Genetics of Glucose Regulation in Gestation and Growth prospective cohort with data: blood samples collected during the 2nd trimester, an oral glucose tolerance test (OGTT), and the measured leptin and glucose levels...
January 18, 2017: Neonatology
https://www.readbyqxmd.com/read/28090333/urinary-c-peptide-creatinine-ratio-in-pregnant-women-with-normal-glucose-tolerance-and-type-1-diabetes-evidence-for-insulin-secretion
#14
Ankica Markoska, Rajalakshmi Valaiyapathi, Chloe Thorn, Anne Dornhorst
HYPOTHESIS: In pregnancy, urinary C peptide creatinine ratio (UCPCR) reflects endogenous insulin secretion in women with normal glucose tolerance and type 1 diabetes. RESEARCH DESIGN AND METHODS: UCPCR and serum C peptide were measured in 90 glucose-tolerant women at 0 and 120 min during a 75 g oral glucose tolerance test (OGTT) at 28 weeks of gestation. UCPCR was measured in 2 samples obtained over 10 weeks apart in 7 pregnant women with longstanding type 1 diabetes...
2017: BMJ Open Diabetes Research & Care
https://www.readbyqxmd.com/read/28076942/prevalence-of-gestational-diabetes-mellitus-in-a-suburban-district-in-sri-lanka-a-population-based-study
#15
B H Sudasinghe, P S Ginige, C N Wijeyaratne
Introduction: GDM is a leading metabolic cause of morbidity to mother and offspring. Determining its prevalence is important for health planning and implementation. Objective: Assess prevalence of GDM in the District of Gampaha. Method: Community based cross-sectional study was conducted in women attending field-based ante-natal clinics in two Medical Officer of Health (MOH) areas between January 2014 to March 2015. Consecutive women were recruited by cluster sampling with probability proportionate to size using strict exclusion criteria...
December 30, 2016: Ceylon Medical Journal
https://www.readbyqxmd.com/read/28072873/association-study-with-77-snps-confirms-the-robust-role-for-the-rs10830963-g-of-mtnr1b-variant-and-identifies-two-novel-associations-in-gestational-diabetes-mellitus-development
#16
Klara Rosta, Zahra Al-Aissa, Orsolya Hadarits, Jürgen Harreiter, Ákos Nádasdi, Fanni Kelemen, Dagmar Bancher-Todesca, Zsolt Komlósi, László Németh, János Rigó, István Sziller, Anikó Somogyi, Alexandra Kautzky-Willer, Gábor Firneisz
CONTEXT: Genetic variation in human maternal DNA contributes to the susceptibility for development of gestational diabetes mellitus (GDM). OBJECTIVE: We assessed 77 maternal single nucleotide gene polymorphisms (SNPs) for associations with GDM or plasma glucose levels at OGTT in pregnancy. METHODS: 960 pregnant women (after dropouts 820: case/control: m99'WHO: 303/517, IADPSG: 287/533) were enrolled in two countries into this case-control study...
2017: PloS One
https://www.readbyqxmd.com/read/28068986/leptin-and-adiponectin-as-predictors-of-cardiovascular-risk-after-gestational-diabetes-mellitus
#17
Tove Lekva, Annika Elisabet Michelsen, Pål Aukrust, Tore Henriksen, Jens Bollerslev, Thor Ueland
BACKGROUND: Gestational diabetes mellitus (GDM) is a significant risk factor for cardiovascular disease (CVD) in later life, but the mechanism remains unclear. Adipokine imbalance in the presence of metabolic dysfunction may be a key event in promoting CVD. The aim of the study was to examine the relationships between GDM, cardiovascular risk, and plasma adiponectin, leptin and the leptin/adiponectin (L/A) ratio in pregnancy and at 5 years after the index pregnancy. METHODS: This population-based prospective cohort included 300 women who had an oral glucose tolerance test (OGTT) during pregnancy...
January 10, 2017: Cardiovascular Diabetology
https://www.readbyqxmd.com/read/28053673/diagnostic-protocol-for-gestational-diabetes-mellitus-gdm-iadpsg-ada-2011-influence-on-the-occurrence-of-gdm-and-mild-gestational-hyperglycemia-mgh-and-on-the-perinatal-outcomes
#18
Mariana Pinto Sirimarco, Helena Maciel Guerra, Eduardo Guimarães Lisboa, Joice Monalisa Vernini, Bianca Nicolosi Cassetari, Roberto Antonio de Araujo Costa, Marilza Vieira Cunha Rudge, Iracema de Mattos Paranhos Calderon
BACKGROUND: In August 2011, the Specialized Center for Diabetes and Pregnancy of the Botucatu Medical School/Unesp adopted a new diagnostic protocol for gestational diabetes mellitus, recommended by the American Diabetes Association and the International Association of the Diabetes and Pregnancy Study Group. The glycemic profile was evaluated using the 75-g oral glucose tolerance test (OGTT) used to diagnose mild gestational hyperglycemia, recognized and treated in our department as gestational diabetes mellitus...
2017: Diabetology & Metabolic Syndrome
https://www.readbyqxmd.com/read/28050671/adiponectin-and-leptin-gene-polymorphisms-in-women-with-gestational-diabetes-mellitus
#19
Andrzej Pawlik, Joanna Teler, Agnieszka Maciejewska, Marek Sawczuk, Krzysztof Safranow, Violetta Dziedziejko
PURPOSE: Gestational diabetes mellitus (GDM) is the glucose intolerance occurring during pregnancy. The prevalence of GDM is increased in obese women. Leptin and adiponectin are adipokines that play an important role in the regulation of insulin secretion and glucose and lipid metabolism. The aim of this study was to examine the association between adiponectin and leptin gene polymorphisms and the development of GDM. METHODS: This case-control study included 204 pregnant women with GDM and 207 pregnant women with normal glucose tolerance (NGT)...
April 2017: Journal of Assisted Reproduction and Genetics
https://www.readbyqxmd.com/read/28029217/gestational-diabetes-alters-the-fetal-heart-rate-variability-during-an-oral-glucose-tolerance-test-a-fetal-magnetocardiography-study
#20
E Fehlert, K Willmann, L Fritsche, K Linder, H Mat-Husin, F Schleger, M Weiss, I Kiefer-Schmidt, S Brucker, H-U Häring, H Preissl, A Fritsche
OBJECTIVE: Gestational diabetes mellitus (GDM) potentially harms the child before birth. We previously found GDM to be associated with developmental changes in the central nervous system. We now hypothesise that GDM may also impact on the fetal autonomic nervous system under metabolic stress like an oral glucose tolerance test (OGTT). DESIGN: We measured heart rate variability (HRV) of mothers and fetuses during a three-point OGTT using fetal magnetocardiography (fMCG)...
December 28, 2016: BJOG: An International Journal of Obstetrics and Gynaecology
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