Increasing Trend of Gestational Diabetes Among Pregnant Females

Authors

  • Uzma Malik Department of Gynae and Ob, DHQ Hospital, Narowal.

DOI:

https://doi.org/10.47489/szmc.v38i2.505

Keywords:

Increasing trend, gestational diabetes, pregnant, females

Abstract

Introduction: Gestational Diabetes mellitus (GDM) incidence has risen in recent decades affecting nearly 15 percent of females who experience elevated blood sugar levels during their pregnancy.

Aims and Objectives: To assess the increasing trend of gestational diabetes among pregnant females visiting DHQ Hospital Narowal.

Place and Duration of study: Data was collected at DHQ Hospital Narowal during 2018 & 2023.

Material and Methods: The study was carried out at DHQ Hospital, Narowal. During study period, 3600 pregnant females aged between 18 to 45 years were enrolled and examined for gestational diabetes mellitus in each year 2018 & 2023. The collected data was entered and analyzed in computer software SPSS version 25.0. Data was presented in tables and graphs for both quantitative and qualitative variables. pvalue? 0.05 was taken as significant.

Results: Among 3600 pregnant females in year 2018, 75.1% were 18-30 years old and 24.9% were 31-45 years old. Among pregnant females in year 2023, 89.0% were 18-30 years old and 11.0% were 31-45 years old. Among pregnant females, 15.9%, 42.4% and 41.7% had gestational age 0-12 weeks, 13-28 weeks and 29-40 weeks in 2018, respectively.

In 2023, 29.6%, 22.1% and 48.3% females had gestational age 0-12 weeks, 13-28 weeks and 29-40 weeks, respectively. Among these pregnant females, 20.1% in 2018 and 35.0% in 2023 were diagnosed with gestational diabetes while the increasing trend was found to be 14.9%.

Conclusion: This study concluded that there was an increasing trend of gestational diabetes mellitus among pregnant females in Narowal.

References

Su FL, Lu MC, Yu SC, Yang CP, Yang CC, Tseng ST, et al. Increasing trend in the prevalence of gestational diabetes mellitus in Taiwan. J Diabetes Investig. 2021; 12: 2080-8. DOI: 10.1111/jdi.13595

Saeedi M, Cao Y, Fadl H, Gustafson H, Simmons D. Increasing prevalence of gestational diabetes mellitus when implementing the IADPSG criteria: a systematic review and meta-analysis. Diabetes Res Clin Pract. 2021; 172: 108642. DOI: 10.1016/j.diabres.2020.108 642

Inam I, Madnia E, Ammar A, Sajjad S. Prevalence of gestational diabetes mellitus in Pakistan: a cross sectional Study. Pak J Med Health Sci. 2022; 16(10): 241-3. DOI: 10.53350/pjmhs221610241

Usman TO, Chhetri G, Yeh H, Dong HH. Beta-cell compensation and gestational diabetes. J Biol Chem. 2023; 299(12): 105405. DOI: 10.1016/j.jbc.2023.105 405

Choudhury AA, Rajeswari VD. Gestational diabetes mellitus - a metabolic and reproductive disorder. Biomed Pharmacother. 2021; 143: 112183. DOI: 10.1016/j.biopha.2021.112183

Riaz M, Nawaz A, Masood SN, Fawwad A, Basit A, Shera AS. Frequency of gestational diabetes mellitus using DIPSI criteria, a study from Pakistan. Clin Epidemiol Glob Health. 2019; 7: 218-21. DOI: 10.1016/j.cegh.2018.06.003

Siddique E, Saddique H, Batool S. Prevalence of gestational diabetes and associated maternal factor: prevalence of gestational diabetes. Pak J Health Sci. 2023; 4(5): 253-8. DOI: 10.54393/pjhs.v4i05.758

Zhu H, Zhao Z, Xu J, Chen Y, Zhu Q, Zhou L, et al. The prevalence of gestational diabetes mellitus before and after the implementation of the universal two-child policy in China. Front Endocrinol. 2022; 13: 960877. DOI: 10.3389/fendo.2022.960877

Zhou T, Du S, Sun D, Li X, Heianza Y, Hu G, et al. Prevalence and trends in gestational diabetes mellitus among women in the United States, 2006–2017: a population-based study. Front Endocrinol (Lausanne). 2022; 13: 868094.

DOI: 10.3389/fendo.2022.868094

Gregory ECW, Ely DM. Trends and characteristics in gestational diabetes: United States, 2016–2020. Nat Vital Stat Rep. 2022; 71(3): 1-15. URL: https://www.cdc.gov/nchs/data/nvsr/nvsr71/nvsr71- 03.pdf

Deitch J, Yates CJ, Hamblin PS, Kevat D, Shahid I, Teale G, et al. Prevalence of gestational diabetes mellitus, maternal obesity and associated perinatal outcomes over 10 years in an Australian tertiary maternity provider. Diabetes Res Clin Pract. 2023; 203: 110793. DOI: 10.1016/j.diabres.2023.110793

Koo BK, Lee JH, Kim J, Jang EJ, Lee CH. Correction: prevalence of gestational diabetes mellitus in Korea: A National Health Insurance Database Study. Plos One. 2016; 11(10): e0165445. DOI: 10.1371/journal.pone.0165445

Hazar N, Malamiri MJ, Mirzaei M, Kalantari F, Sadeghiantafti MR, Lotfi MH, et al. Gestational diabetes mellitus: trend assessment of incidence and related risk factors in Yazd-2008-2013. Iran J Diabetes Obesity. 2017; 9(4): 187-96. URL: https://www.sid.ir/ FileServer/JE/131220170407

Khattak SN, Shah AH, Imran A, Khattak MI, Mansoor K, Memon AN. Outcomes of gestational diabetes mellitus in Pakistani mothers: an experience of a tertiary care hospital. J Bahria Uni Med Dental Coll. 2021; 11(4): 174-8. DOI: 10.51985/JBUMDC20210 50

Meng GL, Wang Q, Kang R, Cheng XY, Yang JL, Xie Y. Prevalence of abnormal glucose values and gestational diabetes mellitus among pregnant women in Xi’an from 2015 to 2021. BMC Preg Childbirth. 2023; 23: 471. DOI: 10.1186/s12884-023-05798-w

Sirico A, Rossi ED, Degennaro VA, Arena V, Rizzi A, Tartaglione L, et al. Placental diabesity: placental VEGF and CD31 expression according to pregestational BMI and gestational weight gain in women with gestational diabetes. Arch Gynecol Obstet. 2023; 307(6): 1823-31. DOI: 10.1007/s00404-022-06673-3

Sirico A, Dell'Aquila M, Tartaglione L, Moresi S, Farì G, Pitocco D, et al. PTH-rP and PTH-R1 expression in placentas from pregnancies complicated by gestational diabetes: new insights into the pathophysiology of hyperglycemia in pregnancy. Diagnostics (Basel Switzerland). 2021;11(8):1356. DOI: 10.3390/diagnostics11081356

Lowe WL Jr, Scholtens DM, Kuang A,Linder B, Lawrence JM, Lebenthal Y, et al. Hyperglycemia and adverse pregnancy outcome follow-up study (HAPO FUS): maternal gestational diabetes mellitus and childhood glucose metabolism. Diabetes Care. 2019;42(3):372-80. DOI: 10.2337/dc18-1646

Sweeting A, Wong J, Murphy HR, Ross GP. Clinical update on gestational diabetes mellitus. Endocr Rev. 2022;43(5):763-3.DOI: 10.1210/endrev/bnac003

Vounzoulaki E, Khunti K, Abner SC,Tan BK, Davies MJ, Gillies CL. Progression to type 2 diabetes in women with a known history of gestational diabetes: systematic review and meta- analysis. BMJ. 2020;369:m1361. DOI: 10.1136/bmj.m1361

Fiskå BS, Pay ASD, Staff AC, Sugulle M. Gestational diabetes mellitus, follow-up of future maternal risk of cardiovascular disease and the use of eHealth technologies—a scoping review. Syst Rev. 2023; 12: 178. DOI: 10.1186/s13643-023-02343-w

Sheikh A, Sheik L. Changing prevalence of gestational diabetes mellitus during pregnancy over more than a decade. J Pak Med Assoc. 2020; 70(8): 1477-8. DOI: 10.5455/JPMA.65585

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Published

2024-04-29

How to Cite

1.
Uzma Malik. Increasing Trend of Gestational Diabetes Among Pregnant Females. Proceedings S.Z.M.C [Internet]. 2024 Apr. 29 [cited 2024 Jun. 25];38(2):111-5. Available from: http://www.proceedings-szmc.org.pk/index.php/szmc/article/view/505