Glycemic Control And Birth Weight With Glycated Albumin In Women With Gestational Diabetes Mellitus at Zagazig University Hospital

1Mohammed NajibAzzam, Mohammed SabryMahdy, Mustafa Taha Abdelfattah, Sarah Elsayyed Ibrahim Abdalrahman

149 Views
60 Downloads
Abstract:

Background:The current monitoring standards for diabetes involve a combination of a self‐monitored blood glucose (SMBG) procedure, continuous glucose monitoring, and glycated hemoglobin A1c (HbA1c) measurement. Increasing attention has been focused on the use of glycated albumin (GA) as a parameter of the short‐term glycemic status. W aimed to evaluate GA as a potential glycemic marker in managing of gestational diabetes mellitus, and evaluating the association between glycemic control and birth weight with glycated albumin in women with GDM. Methods:Prospective study was carried out at Zagazig University Hospitals, Thirty women was control group and Thirty as the GDM (study) group. Maternal serum GA level was measured. Results:The result of this study showed that GA (24_28 weeks) more than 14.15 had sensitivity of 83.7% and specificity of 88% for prediction of fetal complication and GA (36_38 weeks) more than 14.45 had sensitivity of 85% and specificity of 88% for prediction of fetal complication.Conclusion:Strong support for the use of GA measurements, as a complement to finger stick glucose, for assessing short‐term glycemic control and predicting large birth weight in the GDM women.

Keywords:

Diagnosis- Birth Weight- GA. GDM. Glycemic Control

Paper Details
Month12
Year2020
Volume24
IssueIssue 10
Pages6151-6165