Relationship of Epidemiologic Features and Risk Factors in Impaired Glucose Tolerance and Gestational Diabetes Mellitus

INTRODUCTION: To examine the relation of weight and parity with glucose intolerance during pregnancy.

METHODS: This study was a prospective cohort survey of 365 women at 24-38 weeks of gestation who were attending the antenatal clinic in Istanbul Bakırköy region, between 1st January 2009 and 31st December 2009. Risk factors were determined using a questionnaire, and two steps oral glucose tolerance test (OGTT) were routinely performed. The statistical analysis was performed using Kruskal Wallis test, Mann-Whitney U test, Chi-square test and Oneway Anova test, Tukey HSD test. P<0.05 value was statistically significant.

RESULTS: Pregestational weight, gestational weight gain and parity of the women with GDM were significantly higher, and educational status was significantly lower than other groups (p<0.01).

DISCUSSION AND CONCLUSION: Pregestational obese women and women who had higher gestational weight gain higher risk of GDM. Patient education is important for preventive medicine practice.