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Risk factors for gestational diabetes mellitus: ethnic disparities.

Research paper by Tzu-Chi TC Lin, Chia-Fen CF Mu, Chao-Yu CY Hsu

Indexed on: 24 Jan '15Published on: 24 Jan '15Published in: Australian Journal of Rural Health



Abstract

Gestational diabetes mellitus (GDM) increases the risk of poor maternal and infant health outcomes; therefore, the objective of this study was to compare the ethnic disparities and identify the risk factors for GDM.We performed a cross-sectional analysis using patient records from a hospital located in the Puli area of Central Taiwan.A teaching hospital located in a rural mountainous area of Central Taiwan.Between 2002 and 2012, the hospital admitted 154 patients (107 non-aborigines, 30 aborigines, and 17 non-Taiwanese) who exhibited glucose intolerance during their pregnancy.GDM was confirmed using the oral-glucose-tolerance-test administered in dose of either 100 g or 75 g. The incidence and risk factors for GDM in the aboriginal and non-aboriginal women was compared.We excluded the patients who had overt diabetes or were non-Taiwanese. Thus, 132 patients (28 aboriginal and 104 non-aboriginal women; mean age 30 years) were enrolled in the final study. A total of 51 patients (15 aboriginal, 36 non-aboriginal women) had GDM, which was more prevalent among the aboriginal mothers (53.6% versus 34.6%). The risk factors for GDM among the aboriginal women were persistent glycosuria and prior macrosomia.The Taiwanese aboriginal women exhibited higher incidence of GDM; thus, we recommend that early screening and health education for pregnant aboriginal women be provided.