University of Medicine and Pharmacy of Craiova, Romania.
Clinical County Emergency Hospital of Craiova, Romania.
J Diabetes Res. 2022 Jun 2;2022:2367213. doi: 10.1155/2022/2367213. eCollection 2022.
Gestational diabetes mellitus (GDM) is caused by numerous risk factors, the most common being old age, obesity, family history of diabetes mellitus, GDM, history of fetal macrosomia, history of polycystic ovary syndrome or treatment with particular drugs, multiple births, and certain races. The study proposed to analyze the risk factors causing GDM.
In the study, we included 97 pregnant women to whom there was an OGTT performed between weeks 24th and 28th of pregnancy, divided into two groups, with GDM and without GDM. The statistical analysis was performed with SPSS 26.0, the tests being statistically significant if value < 0.05.
The favoring risk factors for the onset of GDM were analyzed, with statistically significant differences between the GDM group and the group without GDM related to the delivery age (32.39 ± 4.66 years old vs. 28.61 ± 4.71 years old), history of fetal macrosomia (13.7% vs. 0%), presence of GDM during previous pregnancies (7.8% vs. 0%), HBP before pregnancy (9.8% vs. 0%), gestational HBP (17.6% vs. 0%), glycemia value at first medical visit (79.37 ± 9.34 mg/dl vs. 71.39 ± 9.16 mg/dl), and weight gain during pregnancy (14.61 ± 4.47 kg vs. 12.48 ± 5.87 kg).
Identifying the risk factors for the GDM onset has a special importance, implying an early implementation of interventional measures in order to avoid the onset of GDM and associated maternal and fetal complications.
妊娠糖尿病（GDM）由多种危险因素引起，最常见的是高龄、肥胖、糖尿病家族史、GDM 史、巨大儿史、多囊卵巢综合征史或特定药物治疗史、多胎妊娠和某些种族。本研究旨在分析导致 GDM 的危险因素。
在这项研究中，我们纳入了 97 名孕妇，她们在妊娠 24 至 28 周之间进行了 OGTT，分为 GDM 组和非 GDM 组。统计分析采用 SPSS 26.0 进行，若 P 值 < 0.05，则认为检验具有统计学意义。
分析了 GDM 发病的危险因素，GDM 组与非 GDM 组在分娩年龄（32.39 ± 4.66 岁比 28.61 ± 4.71 岁）、巨大儿史（13.7%比 0%）、既往妊娠 GDM 史（7.8%比 0%）、妊娠前高血压（9.8%比 0%）、妊娠高血压（17.6%比 0%）、首次就诊时血糖值（79.37 ± 9.34 mg/dl 比 71.39 ± 9.16 mg/dl）和孕期体重增加（14.61 ± 4.47 kg 比 12.48 ± 5.87 kg）方面存在统计学差异。
识别 GDM 发病的危险因素具有特殊意义，这意味着应早期实施干预措施，以避免 GDM 及其相关的母婴并发症的发生。
