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Temporal Patterns of Diabetes in Pregnancy: Analyzing Pregestational and Gestational Diabetes Mellitus Among Women Aged 15-44 Years Using the United States Diabetes Surveillance System (USDDS) Database.
Nwachukwu, Elochukwu U; Ezeamii, Jennifer C; Okoye, Tricia O; Okobi, Okelue E; Ojo, Rhoda O; Akinsola, Zainab; Gebeyehu, Yonas H; Osarenkhoe-Ighodaro, Ehireme A.
Afiliación
  • Nwachukwu EU; Family Medicine, University of Uyo Teaching Hospital, Uyo, NGA.
  • Ezeamii JC; Nursing Sciences, Faculty of Health Sciences and Technology, University of Nigeria Enugu Campus, Enugu, NGA.
  • Okoye TO; Family Medicine, College of Medical Sciences, Ambrose Alli University, Ekopma, NGA.
  • Okobi OE; Family Medicine, Larkin Community Hospital Palm Springs Campus, Hialeah, USA.
  • Ojo RO; Family Medicine, Medficient Health Systems, Laurel, USA.
  • Akinsola Z; Family Medicine, Lakeside Medical Center, Belle Glade, USA.
  • Gebeyehu YH; Epidemiology and Biostatistics, University of Texas Health Science Center at Houston, Houston, USA.
  • Osarenkhoe-Ighodaro EA; Internal Medicine/Family Medicine, Windsor University School of Medicine, Cayon, KNA.
Cureus ; 15(11): e49694, 2023 Nov.
Article en En | MEDLINE | ID: mdl-38161885
ABSTRACT

BACKGROUND:

Diabetes in pregnancy, including pregestational diabetes mellitus (PGDM) and gestational diabetes mellitus (GDM), is a significant global health concern. Understanding its temporal patterns is crucial for effective healthcare planning and intervention strategies.

METHODS:

This retrospective observational study utilized data from the United States Diabetes Surveillance System (USDDS) spanning 2000 to 2019. We conducted a comprehensive analysis of temporal trends in PGDM and GDM prevalence among people aged 15-44 years. Additionally, age and race-based subgroup analyses were performed to identify variations in diabetes patterns.

RESULTS:

Over the two-decade study period, PGDM and GDM exhibited distinct temporal patterns. PGDM prevalence remained stable initially (1.1% per 100 deliveries) but gradually increased to 1.6% by 2019. In contrast, GDM prevalence showed a consistent rise, reaching 9.6% per 100 deliveries by 2019. Age-specific analysis revealed higher prevalence rates in older age groups, peaking at 40-44 years. Race-based analyses unveiled significant disparities, with Asians having the highest GDM rates and Black individuals having the highest PGDM rates.

CONCLUSION:

The prevalence of diabetes in pregnancy in the United States has increased significantly from 2000 to 2019, emphasizing the need for continued surveillance and tailored interventions. Age and race-specific disparities highlight the importance of the growing impact of diabetes in pregnancy on maternal and fetal health.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Risk_factors_studies / Screening_studies Aspecto: Equity_inequality Idioma: En Revista: Cureus Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Risk_factors_studies / Screening_studies Aspecto: Equity_inequality Idioma: En Revista: Cureus Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos