A pilot community-based screening program for gestational diabetes

Irwin R. Merkatz, M. A. Duchon, T. S. Yamashita, H. Houser

Research output: Contribution to journalArticle

37 Citations (Scopus)

Abstract

A pilot community-based screening program for gestational diabetes has been in operation in Cleveland, Ohio, since April 1, 1977. A socioeconomic and racially heterogeneous group of pregnant women are being routinely tested at approximately 24-28 wk of gestation by a capillary whole blood glucose determination, 2-h after a 75-g oral challenge. The results of the first 2225 screenings are analyzed in terms of the variables of maternal race, age, and stage of gestation. The overall incidence of positive screenings (≥ 120 mg/dl) is shown to be 11.5%, with significantly more positive tests among the whites than the nonwhites. Follow-up oral glucose tolerance testing results in an overall detection rate for abnormal carbohydrate metabolism of 3.1%. The data suggest that a 2-h screening procedure is more efficient than a 1-h procedure in that fewer confirmatory glucose tolerance tests need to be performed in order to yield this rate of detection. It may soon be feasible to introduce such a program on a wider community basis in concert with regionalized perinatal care.

Original languageEnglish (US)
Pages (from-to)453-457
Number of pages5
JournalDiabetes Care
Volume3
Issue number3
StatePublished - 1980
Externally publishedYes

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Gestational Diabetes
Glucose Tolerance Test
Perinatal Care
Pregnancy
Maternal Age
Carbohydrate Metabolism
Blood Glucose
Pregnant Women
Incidence
Pilots

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Internal Medicine

Cite this

Merkatz, I. R., Duchon, M. A., Yamashita, T. S., & Houser, H. (1980). A pilot community-based screening program for gestational diabetes. Diabetes Care, 3(3), 453-457.

A pilot community-based screening program for gestational diabetes. / Merkatz, Irwin R.; Duchon, M. A.; Yamashita, T. S.; Houser, H.

In: Diabetes Care, Vol. 3, No. 3, 1980, p. 453-457.

Research output: Contribution to journalArticle

Merkatz, IR, Duchon, MA, Yamashita, TS & Houser, H 1980, 'A pilot community-based screening program for gestational diabetes', Diabetes Care, vol. 3, no. 3, pp. 453-457.
Merkatz, Irwin R. ; Duchon, M. A. ; Yamashita, T. S. ; Houser, H. / A pilot community-based screening program for gestational diabetes. In: Diabetes Care. 1980 ; Vol. 3, No. 3. pp. 453-457.
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