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Diet-Treated Gestat...
Diet-Treated Gestational Diabetes Mellitus Is an Underestimated Risk Factor for Adverse Pregnancy Outcomes : A Swedish Population-Based Cohort Study
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- Valgeirsdóttir, Inga Rós, 1984- (author)
- Örebro universitet,Institutionen för medicinska vetenskaper,Department of Obstetrics and Gynecology,Örebro Univ, Fac Med & Hlth, Dept Obstet & Gynecol, SE-70182 Örebro, Sweden.
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- Hanson, Ulf, 1944- (author)
- Uppsala universitet,Obstetrisk och reproduktiv hälsoforskning,Örebro Univ Hosp, Dept Obstet & Gynecol, Region Örebro Cty, POB 1613, SE-70116 Örebro, Sweden.
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- Schwarcz, Erik (author)
- Department of Internal Medicine, Faculty of Medicine and Health, Örebro University, Örebro, Sweden,Örebro Univ, Fac Med & Hlth, Dept Internal Med, SE-70182 Örebro, Sweden.
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- Simmons, David (author)
- Department of Obstetrics and Gynecology, Örebro University Hospital, Region Örebro County, Örebro, Sweden; School of Medicine, Western Sydney University, Campbelltown, NSW, Australia,Örebro Univ Hosp, Dept Obstet & Gynecol, Region Örebro Cty, POB 1613, SE-70116 Örebro, Sweden.;Western Sydney Univ, Sch Med, Campbelltown, NSW 2560, Australia.
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- Backman, Helena, 1965- (author)
- Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Obstetrics and Gynecology,Örebro Univ, Fac Med & Hlth, Dept Obstet & Gynecol, SE-70182 Örebro, Sweden.
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(creator_code:org_t)
- 2022-08-16
- 2022
- English.
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In: Nutrients. - : MDPI. - 2072-6643. ; 14:16
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Abstract
Subject headings
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- In Sweden, diet-treated gestational diabetes mellitus (GDM) pregnancies have been managed as low risk. The aim was to evaluate the risk of adverse perinatal outcomes among women with diet-treated GDM compared with the background population and with insulin-treated GDM. This is a population-based cohort study using national register data between 1998 and 2012, before new GDM management guidelines and diagnostic criteria in Sweden were introduced. Singleton pregnancies (n = 1,455,580) without pregestational diabetes were included. Among 14,242 (1.0%) women diagnosed with GDM, 8851 (62.1%) were treated with diet and 5391 (37.9%) with insulin. In logistic regression analysis, the risk was significantly increased in both diet- and insulin-treated groups (vs. background) for large-for-gestational-age newborns, preeclampsia, cesarean section, birth trauma and preterm delivery. The risk was higher in the insulin-treated group (vs. diet) for most outcomes, but perinatal mortality rates neither differed between treatment groups nor compared to the background population. Diet as a treatment for GDM did not normalize pregnancy outcomes. Pregnancies with diet-treated GDM should therefore not be considered as low risk. Whether changes in surveillance and treatment improve outcomes needs to be evaluated.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Endokrinologi och diabetes (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Endocrinology and Diabetes (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
Keyword
- Diabetes in pregnancy
- diet therapy
- gestational diabetes
- insulin
- pregnancy outcomes
Publication and Content Type
- ref (subject category)
- art (subject category)
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