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Abstract
A 50 gm, 1-hour glucose screening test was given to 381 gravid women 25 years of age
or older. All women with plasma glucose values ≥130 mg/dl (119 mg/dl, whole blood)
were given a 100 gm, 3-hour glucose tolerance test to diagnose gestational glucose
intolerance using O'Sullivan's diagnostic criteria. On the basis of the distribution
of screening test values, three diagnostic zones could be identified: a zone below
135 mg/dl plasma glucose, with less than 1% probability of diabetes; a zone above
182 mg/dl plasma glucose, with more than 95% probability of diabetes; and a central
zone of uncertainty (135 to 182 mg/dl, plasma glucose), where further testing is required.
These test results suggest that thresholds for further testing be lowered from 143
to 135 mg/dl of plasma glucose.
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References
- Carbohydrate metabolism in pregnancy. V. The interrelations of glucose, insulin and free fatty acids in late pregnancy and postpartum.N. Engl. J. Med. 1964; 271: 866
- Peripheral utilization of glucose in pregnancy. III. Insulin tolerance.Obstet. Gynecol. 1956; 2: 658
- Gestational diabetes and perinatal mortality rate.Am. J. Obstet. Gynecol. 1973; 116: 901
- Medical treatment of the gestational diabetic.Obstet. Gynecol. 1974; 43: 817
- Insulin therapy for gestational diabetes.Obstet. Gynecol. 1978; 51: 306
- Criteria for the oral glucose tolerance test in pregnancy.Diabetes. 1964; 13: 278
- Screening criteria for high-risk gestational diabetic patients.Am. J. Obstet. Gynecol. 1973; 116: 895
- Long-term follow-up of gestational diabetes.in: Camerini-Davalos R.A. Cole H.S. Early Diabetes. Academic Press, Inc.,, New York1975: 503-519
- A pilot community-based screening program for gestational diabetes.Diabetes Care. 1980; 3: 453
- The incidence of gestational diabetes.Obstet. Gynecol. 1977; 49: 497
- Outcome of diabetes screening in pregnancy and perinatal morbidity in infants of mothers with mild impairment in glucose tolerance.Diabetes Care. 1980; 3: 447
- Screening for diabetes during pregnancy.Br. J. Obstet. Gynaecol. 1980; 87: 377
- Clinical biostatistics: On the Sensitivity, Specificity and Discrimination of Diagnostic Tests.in: The C. V. Mosby Company, St. Louis1977: 214-228
- What is “true” about blood glucose? A comparison of three procedures.Am. J. Clin. Pathol. 1965; 44: 104
- Clinical Chemistry: Principles and Technics. Hoeber Medical (Harper & Row Publishers), New York1965: 651-652 ed. 1.
- Classification and diagnosis of diabetes mellitus and other categories of glucose intolerance.Diabetes. 1979; 28: 1039
Article Info
Publication History
Accepted:
July 13,
1982
Received in revised form:
June 2,
1982
Received:
December 14,
1981
Identification
Copyright
© 1982 Published by Elsevier Inc.