The Prevalence of Gestational Diabetes Mellitus Who were Admitted to a Single Center Private Hospital in Rize

Year 2019, Volume: 16 Issue: 1, 31 - 36, 01.01.2019

Beril Gürlek İbrahim Kale

Abstract

Aim: The aim of the study was to analyze the prevalance of gestational diabetes mellitus according to the International Association of Diabetes and Pregnancy Study Groups’ criterias using the data collected from a single department in Rize.Material and Methods: Computer records of the women who applied for the routine follow up between July 2012 and April 2018 to Şar Hospital, between the age of 19-51 and 24 to 28 weeks of pregnancy were analyzed retrospectively. Participants who has a higher fasting plasma glucose than 126 mg/dl, patients diagnosed with diabetes or an endocrine disease Cushing’s disease, Addison’s disease, pituitary failure, acromegaly etc. known to affect blood glucose levels were not included in the study. Patients who were screened with 75 gr oral glucose tolerance test were included in the study. The prevalance of the gestational diabetes mellitus and distribution according to age groups is calculated.Results: 3204 patients records were examined and prevelance of GDM was found 27,9%. The mean age of the GDM patients was 33,78 ±5,50. The mean age of the patients without GDM was 31,84±4,96. The difference between the mean age of the two groups was statistically significant in terms of GDM prevalence p = 0.0001 .Conclusion: It has been shown that the prevalence of GDM in Rize province is higher than the other provinces of our country. In order to reduce maternal and perinatal mortality by decreasing the prevalence of GDM, urgent and effective interventions should be implemented to improve quality of life such as healthy nutrition and exercise during pregnancy.

Keywords

Diabetes, pregnancy, prevalence

Rize İlinde Gestasyonel Diabetes Mellitus Prevalansı

Abstract

Amaç: Çalışmamızda, ülkemizin doğusunda bulunan Rize’de, tek merkezin verileri kullanılarak ‘The International Association of Diabetes and Pregnancy Study Groups’ kriterlerine göre gestasyonel diyabetes mellitus prevalansını araştırmayı ve kriterlerin prevalansı nasıl etkilediğini ülkemizde yapılan diğer çalışmaları da derleyerek göstermeyi amaçladık.Gereç ve Yöntemler: Temmuz 2012 ve Nisan 2018 tarihleri arasında, Özel Şar Hastanesi ‘Kadın Hastalıkları ve Doğum bölümüne’ rutin gebelik takipleri için başvuran 24-28 gebelik haftasındaki 19-51 yaş arasındaki tüm gebeler hastanenin bilgisayar kayıt sistemleri aracılığıyla retrospektif olarak incelendi. Açlık plazma glukozu 126 mg/dl üzerinde olan, daha önce diyabet tanısı alan ve kan glukoz düzeyini etkileyebileceği bilinen bir endokrin hastalığı Cushing hastalığı, Addison hastalığı, hipofiz yetmezliği, akromegali vs. olan gebeler çalışmaya dahil edilmedi. ‘The International Association of Diabetes and Pregnancy Study Groups’ tarafından önerilen tek basamaklı 75 gr oral glukoz tolerans testi ile taraması yapılan hastalar çalışmaya dahil edildi. Gestasyonel diyabetes mellitus prevalansı hesaplandı ve yaş gruplarına göre dağılımı incelendi.Bulgular: 3204 hastanın incelendiği bu çalışmada gestasyonel diyabetes mellitus prevalansı %27,9 bulundu. Gestasyonel diyabetes mellitusu olan hastaların yaş ortalamaları 33,78±5,50, sağlıklı hastaların yaş ortalamaları 31,84±4,96 olarak hesaplandı. Her iki grubun yaş ortalamaları arasındaki fark istatistiksel olarak anlamlıydı p=0,0001 .Sonuç: Rize ilindeki gestasyonel diyabetes mellitus prevalansının ülkemizin diğer illerine oranla daha yüksek olduğu gösterilmiştir. Gestasyonel diyabetes mellitus, tüm dünyada ve ülkemizde gittikçe insidansı artan, hem maternal hem de perinatal komplikasyonları açısından önemli bir sağlık sorunudur. Prevalansının düşürülerek maternal ve perinatal mortalitenin azaltılabilmesi için sağlıklı beslenme ve gebelikte egzersiz gibi yaşam kalitesini artıran acil ve etkili müdahalelerin hayata geçirilmesi gerekmektedir.

Keywords

Diyabet, gebelik, prevalans

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