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2011年1月3日 星期一

Pregnant women are not adequately checked for Gestational diabetes, obstetrics and gynaecology research search

Chart for Quest Diagnostics Incorporated {"s": "dgx", "k": "a00, a50, b00, b60, c10, l10, h00, g00, p20, t10", v00 "o": "", "j": ""} Press release source: Quest Diagnostics incorporated on Monday 20 December 2010, 5: 34 pm EST

MADISON, N.J., 20 Dec. 2010/PRNewswire/--nearly one-third of pregnant women are not verified by simple laboratory test for diabetes gestational diabetes (gestational diabetes), according to more than 900,000 American women published online today in obstetrics and gynaecology.? The study, conducted by scientists of Quest Diagnostics (DGX LARGEST:-News), suggests that many women are not examined in accordance with the guidelines, medical and captures it can put themselves and their babies at risk for complications of gestational diabetes.

The study, entitled "Gaps in diabetes screening during pregnancy and the first, also found that only one of five women who develop gestational diabetes while pregnant were screened for diabetes within six months of the completion of their pregnancy. Medical guidelines recommend that women with gestational diabetes are screened for diabetes between six and the first 12 weeks. Estimated 40 to 60 per cent of women with gestational diabetes type 2 diabetes will be developed in ten years.(I)

"Regardless of ethnic origin, age, weight or many pregnant women are not examined in accordance with the guidelines on gestational diabetes, a condition that can lead to adverse health effects for the mother and child," said study investigator John m. Nakamoto, M.D., Ph.d., Medical Director, Quest Diagnostics.

"We were particularly alarmed to discover that develop the condition while pregnant women are not be screened for diabetes, despite the overwhelming evidence first, that there is a high risk for developing diabetes later in life," said Dr. Nakamoto. "Discussion of diabetes public health crisis, failure to check these women after their pregnancy is a major concern.

The study assessed the results of testing of de-identified the 924,873 identified as pregnant women aged between 25 and 40 who have been tested by Quest Diagnostics Laboratory. This is the first published study on gestational diabetes screening rates for diabetes, and the first for the general population that is not limited to data, hospital or insurance network.

Other key findings:

Many women at risk for gestational diabetes: investigators found that in the population of the study 4.9 per cent of women, appropriately aged between 18 and 40 – or around 41,000 women national – had gestational diabetes.

The number of women with gestational diabetes would nearly double in accordance with the guidelines of the research: the survey also offers, the number of women with gestational diabetes are almost doubled, according to the new criteria for screening, through the use of an oral glucose tolerance 75 g of the International Association of diabetes and pregnancy study groups.? The criteria are based in part on the results of hyperglycemia and adverse pregnancy outcome (HAPO) experience student associations between maternal reactions in respect of the testing of glucose tolerance, and adverse health outcomes for mothers and young children.

Obese women have the highest risk for gestational diabetes but are least likely to check: women with more than 275 lbs weight during their pregnancy were 12% less likely to be checked, but 348 per cent more likely to have gestational diabetes than those weighing between 100-124 lbs. weight women with the mother of 250 274 lbs was 6 per cent less likely to be checked, but more likely to have gestational diabetes than women in the Group lightweight 300 percent. According to the American College of obstetrics and gynaecology (ACOG) and the American Diabetes Association (ADA), the weight is one factor in a woman risk for gestational diabetes.

Ethnicity is stronger prognozator gestational diabetes of the mother of mass: positivity rate for gestational diabetes in Asian American women is 8.7 per cent, compared to 4.1 percent for African American women. Maternal weight is approximately 137 lbs in Asia women, compared with 175 lbs African American women. Spanish American women is positivity about 5.4% and the average weight of the mother of 156 lbs. Caucasian American women had to have a degree of 4.2%, with the mother average weight around 163 lbs.

"Our study Highlights that many factors could affect a woman risk for gestational diabetes. It is important for women and doctors to understand the risks specific to each child in order to assess the potential value of clinically appropriate screening, "said study investigator Harvey w. Kaufman, M.D., Director of the higher Quest Diagnostics. ' Diabetes in epidemic proportions, the need for patients to empower themselves by better understanding of their individual risk for this disease has never been more compelling. "

Gestational diabetes mellitus is diabetes that occurs during pregnancy. It occurs in a 4% and 12% of pregnancies. Untreated gestational diabetes increases the risk of pre-eclampsia, premature birth, delivery problems requiring cesarean section and Neonatal hypoglycemia. May be treated by controlling the gestational diabetes glucose with diet, exercise or insulin treatment. Guidelines recommended testing during and after pregnancy include tolerance for oral glucose and blood tests that are widely available through the United States laboratories.

The survey is now online and in the January 2007 print issue of obstetrics and gynaecology is the official publication of ACOG.

For Quest Diagnostics

Diagnostics of search is a leading provider of diagnostic testing, information and services that patients and doctors need to make better health decisions. The company provides broad access to diagnostic testing services through its network of laboratories and service centres for patients and provides interpretive consultation from extensive medical and scientific staff. Search Diagnostics is a pioneer in the development of innovative diagnostic tests and health information for advanced technological solutions which contribute to the improvement of care for patients. Additional corporate information is available in www.questdiagnostics.com.

(I) Kim C, Newton km, Knopp RH. Gestational diabetes and type 2 diabetes: a systematic review. Diabetes care. 2002; 25 (10): 1862-1868

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