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8. Gestational Diabetes in Patients with Obesity

1. Shahida Aziz 2. Qamoos Razzaq 3. Ruquiya Adil

1. Asstt. Prof. Gynae. & Obstet. FMDC Abbottabad 2. Asstt. Prof. Gynae. & Obstet. FMDC Abbottabad

3. Asstt. Prof. of Radiology. FMDC Abbottabad

ABSTRACT

Objective: To determine the frequency of Gestational Diabetes in obese patients.

Study Design: Cross sectional study

Place and Duration of Study: This study was carried out at Obstetrics and Gynaecology Department, Shahina Jamil Hospital, Abbottabad from April 2013 to September 2013.

Materials and Methods: Total 111 patients were included in this study. After an overnight fast (8 hrs) fasting plasma glucose was taken. 75 gm glucose in one glass of water was given to patient. After 2 hours, another plasma glucose test was taken. Gestational Diabetes was diagnosed on basis of fasting plasma glucose level of > 126 mg / dl, 2 hours post-prandial plasma glucose level of more than 199.8 mg / dl.

Results: Mean age of patients was 27.7 + 3.3. Gestational Diabetes was found in 21 patients (19.0%). Mean Body Mass Index (BMI) of patients was 30.80 + 0.44. 24 patients (21.6%) were primigravida and 87 patients (78.4%) were multigravida.

Conclusion: The results of present study indicate that obesity is an independent risk factor for adverse obstetric outcome and is significantly associated with an increased gestational diabetes rate. Key Words: Gestational Diabetes Mellitus, Obesity, Body Mass Index (BMI)