Diabetes Research and Clinical Practice
Volume 61, Issue 2 , Pages 117-124 , August 2003

Gestational diabetes mellitus in Korea: prevalence and prediction of glucose intolerance at early postpartum

  • Hak C. Jang

      Affiliations

    • Department of Internal Medicine, Seoul National University Bundang Hospital, 300 Gumi-Dong, Bundang-Ku, Sungnam City, Kyongki-Do 463-707, South Korea
    • Corresponding Author InformationCorresponding author. Tel.: +82-31-787-7005; fax: +82-31-787-4051
    • ,
  • Chang-Hoon Yim

      Affiliations

    • Department of Medicine, Samsung Cheil Hospital, Sungkyunkwan University School of Medicine, Seoul, South Korea
    • ,
  • Ki O. Han

      Affiliations

    • Department of Medicine, Samsung Cheil Hospital, Sungkyunkwan University School of Medicine, Seoul, South Korea
    • ,
  • Hyun-Koo Yoon

      Affiliations

    • Department of Medicine, Samsung Cheil Hospital, Sungkyunkwan University School of Medicine, Seoul, South Korea
    • ,
  • In-Kwon Han

      Affiliations

    • Department of Medicine, Samsung Cheil Hospital, Sungkyunkwan University School of Medicine, Seoul, South Korea
    • ,
  • Moon-Young Kim

      Affiliations

    • Department of Obstetrics and Gynecology, Samsung Cheil Hospital, Sungkyunkwan University School of Medicine, Seoul, South Korea
    • ,
  • Jae-Hyug Yang

      Affiliations

    • Department of Obstetrics and Gynecology, Samsung Cheil Hospital, Sungkyunkwan University School of Medicine, Seoul, South Korea
    • ,
  • Nam H. Cho

      Affiliations

    • Department of Preventive Medicine, Ajou University Medical School, Suwon, South Korea

Received 27 January 2003 ,Revised 11 March 2003 ,Accepted 14 April 2003.

References 

  1. Metzger BE. Summary and recommendations of the third international workshop-conference on gestational diabetes mellitus. Diabetes. 1991;40(Suppl. 2):197–201
  2. Buchanan TA, Metzger BE, Freinkel N, Bergman RN. Insulin sensitivity and B-cell responsiveness to glucose during late pregnancy in lean and moderately obese women with normal glucose tolerance or mild gestational diabetes. Am. J. Obstet. Gynecol. 1990;162:1008–1014
  3. Ryan EA, Imes S, Liu D, et al.  Defects in insulin secretion and action in women with a history of gestational diabetes. Diabetes. 1995;44:506–512
  4. Metzger BE, Cho NH, Roston SM, Radvany R. Prepregnancy weight and antepartum insulin secretion predict glucose tolerance five years after gestational diabetes mellitus. Diabetes Care. 1993;12:1598–1605
  5. O'Sullivan JB. The Boston gestational diabetes studies: review and perspectives. In:  Sutherland HW,  Stowers JM,  Pearson DWM editor. Carbohydrate Metabolism in Pregnancy and the New-born. London: Springer; 1989;p. 287–294
  6. Kjos S, Peters R, Xiang A, Henry O, Montoro M, Buchanan T. Predicting future diabetes in Latino women with gestational diabetes. Diabetes. 1995;44:586–591
  7. Metzger BE, Coustan DR. Summary and recommendations of the Fourth International Workshop Conference on Gestational Diabetes. Diabetes Care. 1998;21(Suppl. 2):161–167
  8. The expert committee on the diagnosis and classification of diabetes mellitus, Report of the expert committee on the diagnosis and classification of diabetes mellitus, Diabetes Care 20 (1997) 1183–1197.
  9. Catalano PM, Vargo KM, Bernstein IM, Amini SB. Incidence and risk associated with abnormal glucose tolerance in women with gestational diabetes. Am. J. Obstet. Gynecol. 1991;165:914–919
  10. Metzger BE, Bybee DE, Freinkel N, Phelps RL, Radvany RM, Vaisrub N. Gestational diabetes mellitus: correlation between the phenotypic and genotypic characteristics of mother and abnormal glucose tolerance during the first year postpartum. Diabetes. 1985;43(Suppl. 2):111–115
  11. Kjos SL, Buchanan TA, Greenspoon JS, Montoro M, Bernstein GS, Mestman JH. Gestational diabetes mellitus: the prevalence of glucose intolerance and diabetes mellitus in the first two months postpartum. Am. J. Obstet. Gynecol. 1990;163:93–98
  12. Dacus JV, Meyer NL, Muram D, Stilson R, Phipps P, Sibai BM. Gestational diabetes: postpartum glucose tolerance testing. Am. J. Obstet. Gyncecol. 1994;171:927–931
  13. Lam KSL, Li DF, Lauder IJ, Lee CP, Kung AWC, Ma JTC. Prediction of persistent carbohydrate intolerance in patients with gestational diabetes. Diabetes Res. Clin. Pract. 1991;12:181–186
  14. Kim YL, Cho YW, Park SW, et al.  Antepartum characteristics predicting persistent postpartum glucose intolerance in the patients with gestational diabetes. J. Korean Diabetes Assoc. 2000;24:46–59
  15. Metzger BE. Summary and recommendations of the Third International Workshop-Conference on Gestational Diabetes. Diabetes. 1991;40(Suppl.):197–201
  16. Jang HC, Cho NH, Jung KB, Oh KS, Dooley SL, Metzger BE. Screening for gestational diabetes mellitus in Korea. Int. J. Gynecol. Obstet. 1995;51:115–122
  17. Jang HC, Cho NH, Min YK, Han IK, Jung KB, Metzger BE. Increased macrosomia and perinatal morbidity independent of maternal obesity or advanced maternal age in Korean women with GDM. Diabetes Care. 1997;20:1582–1588
  18. World Health Organization, Diabetes Mellitus, Report of a Study Group, WHO Technical Report Series, no. 727, Geneva, Switzerland, 1985.
  19. Conway DL, Langer O. Effects of new criteria for type 2 diabetes on the rate of postpartum glucose intolerance in women with gestational diabetes. Am. J. Obstet. Gynecol. 1999;181:610–614
  20. Schaefer-Graf UM, Buchanan TA, Xiang AH, Peters RK, Kjos SL. Clinical predictors for a high risk for the development of diabetes mellitus in the early puerperium in women with recent gestational diabetes mellitus. Am. J. Obstet. Gynecol. 2002;186:751–756
  21. Jang HC, Min HK, Lee HK, Cho NH, Metzger BE. Short stature in Korean women: a contribution to the multifactorial predisposition to gestational diabetes mellitus. Diabetologia. 1998;41:778–783
  22. Buchanan TA, Xiang A, Kjos SL, et al.  Gestational diabetes: antepartum characteristics that predict postpartum glucose intolerance and type 2 diabetes in Latino women. Diabetes. 1998;47:1302–1310

☆ Presented in part at the Tenth Japan–Korea Symposium on Diabetes Mellitus, Kumamoto, Japan, 8–9 October 1999.

PII: S0168-8227(03)00110-4

doi: 10.1016/S0168-8227(03)00110-4

Diabetes Research and Clinical Practice
Volume 61, Issue 2 , Pages 117-124 , August 2003

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