The utility of HbA1c for screening gestational diabetes mellitus and its relationship with adverse pregnancy outcomes
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- 作者：Min Yea ; 1 ; Yuanyuan Liua ; 1 ; Xiaopei Caoa ; Fengjuan Yaob ; Bin Liuc ; Yanbing Lia ; Zilian Wangc ; wzlsums@163.com" class="auth_mail" title="E-mail the corresponding author ; Haipeng Xiaoa ; xiaohp@mail.sysu.edu.cn" class="auth_mail" title="E-mail the corresponding author
- 关键词：Gestational diabetes mellitus ; OGTT ; Glycated haemoglobin A1c ; Adverse pregnancy outcomes
- 刊名：Diabetes Research and Clinical Practice
- 出版年：2016
- 出版时间：April 2016
- 年：2016
- 卷：114
- 期：Complete
- 页码：43-49
- 全文大小：421 K
文摘
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Our study found that using HbA1c for GDM screening may help to eliminate the need of OGTT in our study population, however, with 15.0% of GDM patients being missed and 4.3% of normal women being wrongly labeled as GDM. Thus, whether HbA1c be employed for the screening procedure could be beneficial remains to be determined.
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Our data showed that HbA1c at GDM screening was associated with increased risks of preterm delivery, neonatal hyperbilirubinemia and neonatal asphyxia.
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Our study has strengths in large size and detailed information regarding study population, covering many pregnancy outcomes.