|
Gestational Diabetes: Use of Glucose Challenge Test as a Diagnostic Test |
|---|---|
| รหัสดีโอไอ | |
| Creator | Nukun Puisungnoen |
| Title | Gestational Diabetes: Use of Glucose Challenge Test as a Diagnostic Test |
| Contributor | Waralak Yamasmit, Sumonmal Manusirivithaya |
| Publisher | PIMDEE Co., Ltd. |
| Publication Year | 2558 |
| Journal Title | Thai Journal of Obstetrics and Gynaecology |
| Journal Vol. | 23 |
| Journal No. | 2 |
| Page no. | 82-88 |
| Keyword | gestational diabetes, glucose challenge test, diagnosis |
| URL Website | https://tci-thaijo.org/index.php/tjog/index |
| Website title | www.tci-thaijo.org |
| ISSN | 0857-6084 |
| Abstract | Objective:To evaluate the positive predictive value of 50-g glucose challenge test (50-g GCT) for diagnosis of gestational diabetes (GDM).Study design:Diagnostic testMaterials and methods: The study was undertaken at the Faculty of Medicine Vajira Hospital, Navamindradhiraj University by reviewing the medical records of pregnant women who had a 50-g GCT value of ? 140 mg/dL followed by a 100-g glucose tolerance test (100-g GTT) between October 2010 and September 2013. Results were classified in 10 mg/dL increments. GDM was diagnosed using Carpenter and Coustan criteria.Results:The current study included 1,886 cases from universal screening of 9,273 pregnant women. The incidence of GDM was 3.6%. A 50-g GCT cut-off value of ? 230 mg/dL provided 95% positive predictive value for diagnosis of GDM with 0.1% probability for overdiagnosis. Among population with positive screening who had at least one risk factor of GDM, a 50-g GCT threshold of ? 236 mg/dL could be interpreted as GDM without a false positive case and confirmation by 100-g GTT was not required. Conclusions: For a policy of universal screening of GDM, a 50-g GCT may be employed as a diagnostic test when the value is ? 230 mg/dL. |
