Screening and diagnosis of diabetes in children and pregnant women
Journal
Diabetes Research and Clinical Practice
Journal Volume
106
Journal Issue
S2
Pages
S288-S290
Date Issued
2014
Author(s)
Abstract
The incidence and prevalence of diabetes in children has increased in recent decades. The findings of a nationwide screening program in Taiwan show that type 2 diabetes has replaced type 1 diabetes as the leading cause of diabetes in children and adolescents. Important risk factors for diabetes in children are high or low birth weights, obesity, and a family history of diabetes. The incidence of diabetes reaches plateaus during puberty. Therefore, we have developed a strategy to screen seventh-grade children with diabetes based on urinalysis and a risk score. Gestational diabetes is associated with various adverse perinatal outcomes, particularly macrosomia and birth injury, and a higher rate of Cesarean section. The 100 g oral glucose tolerance test (OGTT) for gestational diabetes was initially designed to predict maternal diabetes after delivery, and was revised by Carpenter and Coustan to predict adverse fetal outcomes. In 2010, the International Association of the Diabetes and Pregnancy Study Groups (IADPSG) proposed a 75 g OGTT to define gestational diabetes, resulting in a significant increase in the prevalence of gestational diabetes. Our data suggest that adopting the new IADPSG criteria is reasonable, since they reduce adverse perinatal outcomes and are cost-efficient. ? 2014 Elsevier Ireland Ltd.
SDGs
Other Subjects
Article; Asian; child; cost effectiveness analysis; diabetes mellitus; disease classification; family history; female; human; hypertension; insulin dependent diabetes mellitus; International Association of the Diabetes and Pregnancy Study Group criterion; low birth weight; mass screening; non insulin dependent diabetes mellitus; oral glucose tolerance test; patient identification; pregnancy diabetes mellitus; pregnant woman; prevalence; risk assessment; risk factor; risk reduction; Taiwan; urinalysis; adult; child; diabetes mellitus; Diabetes, Gestational; glucose tolerance test; health; pregnancy; Adult; Child; Diabetes Mellitus; Diabetes, Gestational; Female; Global Health; Glucose Tolerance Test; Humans; Mass Screening; Pregnancy; Prevalence; Risk Factors
Publisher
Elsevier Ireland Ltd
Type
journal article