DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20191306

Prevalence of gestational diabetes mellitus and its relationship with various risk factors in a tertiary care hospital in West Bengal with special reference to tribal population, India

Narenrda Kumar Sharma, Subodh Kumar Mahto, Rahul Sharma, Ankita Sheoran, Sumit Kumar Suman, Pulin Kumar Gupta, Bishwanath Sharma Sarkar, Ramprasad Dey

Abstract


Background: Gestational diabetes mellitus (GDM) is the most common medical complication and metabolic disorder of pregnancy. The aim and objective of this study was to determine the prevalence of GDM and its relationship with various risk factors with special reference to tribal population.

Methods: The study was done in 200 patients between 24 and 28 weeks of gestation, attending antenatal outdoor in a tertiary care hospital of West Bengal.  These patients were given 75gm oral glucose irrespective of the last meal and their plasma glucose was estimated at 2hours. Patients with plasma glucose values ≥140 mg/dl were labelled as GDM. Patients who were diabetic before pregnancy or whose pre pregnancy body mass index was not known or was in labour or had chronic disease, were not included in the study.

Results: Prevalence of GDM was 11% in whole population while it was 14.63% and 10.06% in tribal and non-tribal population respectively.  Prevalence of GDM and its correlation with most of risk factors in previous pregnancies was found to be significant in both non-tribal and tribal population. Family history of diabetes mellitus was the most prevalent risk factor in both non-tribal (9.4%) and tribal population (14.63%). There was no single most common risk factor among GDM patients found as there were multiple risk factors present with same frequency in both tribal and non-tribal population.

Conclusions: The prevalence of GDM is 14.63% in the tribal population and 10.06% in non-tribal population which is not statically significant (P<0.407). The relation between the prevalence of GDM and risk factors was found to be significant for most of the risk factors.


Keywords


Gestational diabetes mellitus, Pregnancy, Prevalence, Risk factor

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References


Baz B, Riveline JP, Gautier JF. Endocrinology of pregnancy: gestational diabetes mellitus: definition, aetiological and clinical aspects. Euro J Endocrinol. 2016;174(2):R43-51.

Seshiah V, Balaji V, Balaji MS, Paneerselvam A, Arthi T, Thamizharasi M, et al. Prevalence of gestational diabetes mellitus in South India (Tamil Nadu): a community-based study. JAPI. 2008;56:329-3.

Verma AK, Singh B, Mengi V. Gestational diabetes in rural women of Jammu. Indian J Community Med: official publication Indian Assoc Preventive Social Med. 2008;33(1):54.

Zargar AH, Sheikh MI, Bashir MI, Masoodi SR, Laway BA, Wani AI, et al. Prevalence of gestational diabetes mellitus in Kashmiri women from the Indian subcontinent. Diabetes Res Clinic Pract. 2004;66(2):139-45.

Seshiah V, Sahay BK, Das AK, Shah S, Banerjee S, Rao PV, et al. Gestational diabetes mellitus-Indian guidelines. J Indian Med Assoc. 2009;107(11):799.

Seshiah V, Balaji V, Balaji MS, Paneerselvam A, Kapur A. Pregnancy and diabetes and DM. Scenario around world: India. Int J Gynecol Obstet. 2009;104(1):35-38.

Seshiah V, Balaji V, Balaji MS, Paneerselvam A, Arthi T, Thamizharasi M, et al. Prevalence of gestational diabetes mellitus in South India (Tamil Nadu): a community-based study. JAPI. 2008;56:329-3.

Anjalakshi C, Balaji V, Balaji MS, Ashalata S, Suganthi S, Arthi T, et al. A single test procedure to diagnose gestational diabetes mellitus. Acta Diabet. 2009;46(1):51-4.

Seshiah V, Balaji V, Balaji MS, Sekar A, Sanjeevi CB, Green A. One step procedure for screening and diagnosis of gestational diabetes mellitus J. Obstet Gynecol. India. 2005;55(6):525-9.

Rajput R, Yadav Y, Nanda S, Rajput M. Prevalence of gestational diabetes mellitus and associated risk factors at a tertiary care hospital in Haryana. Indian J Med Res. 2013;137(4):728.

Savvidou M, Nelson SM, Makgoba M, Messow CM, Sattar N, Nicolaides K. First-trimester prediction of gestational diabetes mellitus: examining the potential of combining maternal characteristics and laboratory measures. Diabet. 2010;59(12):3017-22.

Das V, Kamra S, Mishra A, Agarwal A, Agarwal CG. Screening for gestational diabetes and maternal and fetal outcome. J Obstet Gynaecol India. 2004;54:449-51.

Gómez HL, Martínez ML, Rodríguez ZM. Clinical and epidemiological profile of diabetes mellitus in pregnancy, Isle of Youth, 2008. Medic Review. 2011;13(1):29-34.

Agarwal MM, Dhatt GS, Shah SM. Gestational diabetes mellitus-simplifying the international association of diabetes and pregnancy diagnostic algorithm using fasting plasma glucose. Diab Care. 2010;33:2018-20.

Carpenter MW, Coustan DR. Criteria for screening tests for gestational diabetes. Am J Obstetr Gynecol. 1982;144(7):768-73.

Xiong X, Saunders LD, Wang FL, Demianczuk NN. Gestational diabetes mellitus: prevalence, risk factors, maternal and infant outcomes. Int J Gynecol Obstet. 2001;75(3):221-8.

Wahi P, Dogra V, Jandial K, Bhagat R, Gupta R, Gupta S, Wakhloo A, et al. Prevalence of gestational diabetes mellitus (GDM) and its outcomes in Jammu region. J Assoc Physic India. 2011;59(4):227-30.