OBJECTIVE To assess performance of nonfasting tests to screen children for dysglycemia (prediabetes or diabetes). RESEARCH DESIGN AND METHODS This was a cross-sectional study of 254 overweight or obese (BMI ≥85th percentile) children aged 10-17 years. Subjects came for two visits to a clinical research unit. For visit one, they arrived fasting and a 2-h glucose tolerance test and HbA(1c) and ...

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Traditionally, screening for gestational diabetes mellitus (GDM) has been done only for those women with identifiable risk factors. To determine the value of screening all pregnant women, 363 consecutive patients were tested for GDM using a glucose challenge test (GCT). The test measured plasma glucose 1 hour after administration of a 50-gram oral glucose load. Those patients with a plasma gluc...

OBJECTIVE The economic costs of hyperglycemia are substantial. Early detection would allow management to prevent or delay development of diabetes and diabetes-related complications. We investigated the economic justification for screening for pre-diabetes/diabetes. RESEARCH DESIGN AND METHODS We projected health system and societal costs over 3 years for 1,259 adults, comparing costs associat...

Background: To evaluate pre diabetes and in patients with clinical risk factors or symptoms who have been previously undiagnosed. Methods: A cross-sectional cohort study of 783 patients, carried at a tertiary health care centre using diagnostic tools oral glucose challenge test (GCT), overnight fat standard tolerance (OGTT) HbA1C estimation, criteria guidelines applied for diagnosis individual ...

To assess whether women with gestational diabetes (GDM) should be screened the glucose tolerance test (GTT) instead of challenge (GCT) as primary in next pregnancy. This is an IRB-exempt retrospective cohort study. We included GDM who had a subsequent delivery at our institution from 2004-2020. Patients BMI < 18.5 kg/m2, multifetal gestation, pregestational mellitus and chronic hypertension wer...

OBJECTIVE We examined the association between 1-hour glucose challenge test (GCT) values and risk of caesarean section. STUDY DESIGN A prospective cohort study recruited 203 pregnant Black women to participate. At ~28 weeks of gestation, participants underwent a routine 1-hour 50 g GCT to screen for gestational diabetes mellitus. Logistic regression was used to examine the association between...

AIM To determine the prevalence of and risk factors for abnormal glucose tolerance (AGT) in previous gestational diabetes mellitus (pGDM) women. METHODS 100 pGDM women randomly selected from the database of the Department of Obstetrics/Gynecology. 75 g-OGTT were performed in subjects without known diabetes. AGT was diagnosed using the American Diabetes Association criteria. RESULTS The mean...