HbA1c as a predictor of diabetes after gestational diabetes mellitus

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• 作者：Rickard Claesson^a ; ^b ; ^{rickard.claesson@med.lu.se} ; Claes Ignell^a ; ^c ; ^{claes.ignell@med.lu.se} ; Nael Shaat^a ; ^d ; ^{nael.shaat@med.lu.se} ; Kerstin Berntorp^a ; ^d ; ^{kerstin.berntorp@med.lu.se}
• 关键词：AUC ; area under the curve ; BMI ; body mass index ; CI ; confidence interval ; EASD ; European Association for the Study of Diabetes ; GDM ; gestational diabetes mellitus ; IFG ; impaired fasting glucose ; IGT ; impaired glucose tolerance ; NGT ; normal glucose tolerance ; NPV ; negative predictive value ; OGTT ; oral glucose tolerance test ; OR ; odds ratio ; PPV ; positive predictive value ; ROC ; receiver-operating characteristic ; SD ; standard deviation ; WHO ; World Health Organization
• 刊名：Primary Care Diabetes
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：11
• 期：1
• 页码：46-51
• 全文大小：418 K
• 卷排序：11

文摘

Third-trimester HbA1c was investigated as a predictor of diabetes following GDM. After five years, 73/196 (37%) of the women had developed diabetes. HbA1c ≥36 mmol/mol (≥5.4%) was associated with a 5.5-fold increased risk of diabetes. HbA1c showed high specificity but low sensitivity to predict diabetes post-partum. HbA1c could be used as a means of selecting high-risk women for interventions.