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| AI GENERATED |
Hello my dear readers , I want your focus
on this topic because it is very serious matter which can be resolved just by
regular checkups and its proper cure . Here , I am talking about GDM . GDM is
defined As the glucose intolerance first diagnosed during pregnancy. It affects about 14 to 15% of pregnancies in
the world. It is mainly of two types ….First is Early GDM and second one is
late GDM. The Early GDM is that when the glucose tolerance is checked before
20th week of pregnancy while Late GDM is the one whom the glucose tolerance is
checked after 20th week of pregnancy or checked in between 24th to 28th week of
pregnancy.
A study
was done by STRIDE in which it
selected about 7 antenatal clinics of India with sample size of about 3000 . In
which it found that early GDM is found
in 1of every 5 women in India . The Early GDM increases the risk for other
diabetes compared with later GDM . The STRIDE wants to develop a risk scoring
system to predict late GDM in early pregnancy.
Early screening was done before 16th week of pregnancy using Fastimg
Plasma Glucose (FPG) ND HbA1C , the three month average. If higher sugar level
was found , test was done again in between 24tha ND 28th week of
pregnancy. This study was a
collaboration between the institutes of Bharat , Great Britain , Kuwait ,
Australia. Study was mainly focused on Asian continent . In this study they
found that the rate of Early GDM was 21.5% while that of late GDM was 19.5%.
Major concern was that instead of decreasing,
the Early GDM is increasing per year by constant rate. A similar study
was done also by Indian Coumcul Of Medical research (ICMR) in which it found
that the rate of Early GDM was 19.2% while that of Late GDM was 23.4% . But
it's sample size was only 1000. Researchers told that women with Early GDM have
risk of Higher Early pregnancy weight, Higher Body Mass Index , Waist
Circumference, High BP , High HbA1C, and
also family history of GDM. Late GDM is only associated with family
history of diabetes . In west , only women with a family history are screened .
The rate of Early GDM increases the risk of diabetes to 4 times . Doctors And
Researcher are finding the way to solve this problem as earlier as possible.
Shashwat
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