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Hierarchy of diabetes during pregnancy

هرمية الداء السكري أثناء الحمل

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 Publication date 2015
and research's language is العربية
 Created by Shamra Editor




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Gestational Diabetes Mellitus (GDM) is one of the most common complications during pregnancy. The prevalence of gestational diabetes (GDM) is increasing all over the world. Hence, the impact of GDM on maternal and infant health is an important topic of research. Objective: The aim of the study was to determine the prevalence of GDM, and to assess the impact of universal screening to detect Gestational diabetes mellitus. Subjects and methods: A representative sample of 760 pregnant women who attended the antenatal department of Al Assad Hospital in Lattakia were surveyed during the period from June 1st, 2013 to December 1st, 2014. The questionnaire covered variables related maternal age, gestational age, BMI, and women underwent the diagnostic tests for GDM. 73 pregnant women had positive results.


Artificial intelligence review:
Research summary
تتناول هذه الدراسة انتشار الداء السكري أثناء الحمل وتأثيره على صحة الأم والجنين. تم إجراء الدراسة على 760 حاملًا في قسم التوليد وأمراض النساء في مشفى الأسد الجامعي في اللاذقية خلال الفترة من يونيو 2013 حتى ديسمبر 2014. أظهرت النتائج أن نسبة انتشار الداء السكري أثناء الحمل بلغت 9.60%، مع ارتفاع النسبة بشكل ملحوظ بين الحوامل الأكبر من 30 عامًا (68.49%)، وفي الثلث الثالث من الحمل (71.23%)، وبين الحوامل البدينات (49.32%). أكدت الدراسة على أهمية إجراء اختبارات المسح للكشف المبكر عن الداء السكري أثناء الحمل، وحددت عوامل الخطورة الرئيسية كالعمر المتقدم للأم، العمر الحملي المتقدم، والبدانة.
Critical review
دراسة نقدية: تعتبر هذه الدراسة مهمة جدًا في تسليط الضوء على مشكلة صحية شائعة تؤثر على صحة الأم والجنين. ومع ذلك، يمكن توجيه بعض النقد البناء للدراسة. أولاً، كان من الممكن أن تكون العينة أكبر وأكثر تنوعًا لتشمل مناطق أخرى من سوريا أو دول أخرى للحصول على نتائج أكثر شمولية. ثانيًا، كان من الممكن أن تتضمن الدراسة تحليلًا أعمق للعوامل الاجتماعية والاقتصادية التي قد تؤثر على انتشار الداء السكري أثناء الحمل. أخيرًا، كان من الأفضل تضمين توصيات محددة للسياسات الصحية بناءً على النتائج لتعزيز الوقاية والعلاج.
Questions related to the research
  1. ما هي نسبة انتشار الداء السكري أثناء الحمل وفقًا للدراسة؟

    بلغت نسبة انتشار الداء السكري أثناء الحمل 9.60% من مجموع الحوامل.

  2. ما هي الفئة العمرية الأكثر عرضة للإصابة بالداء السكري أثناء الحمل؟

    الفئة العمرية الأكثر عرضة للإصابة بالداء السكري أثناء الحمل هي الحوامل الأكبر من 30 عامًا، حيث بلغت النسبة 68.49%.

  3. ما هي العوامل الرئيسية التي تزيد من خطر الإصابة بالداء السكري أثناء الحمل؟

    العوامل الرئيسية التي تزيد من خطر الإصابة بالداء السكري أثناء الحمل هي العمر المتقدم للأم، العمر الحملي المتقدم، والبدانة.

  4. ما هي التوصيات التي قدمتها الدراسة للوقاية من الداء السكري أثناء الحمل؟

    أوصت الدراسة بأهمية إجراء اختبارات المسح للكشف المبكر عن الداء السكري أثناء الحمل، والتأكيد على أهمية الزواج والإنجاب بعمر مناسب، والمحافظة على نمط حياة صحي وممارسة الرياضة لتقليل نسبة البدانة.


References used
GETAHUN,D.; NATH,C.; ANANTH,C.V.; CHAVEZ,M.R.; SMULIAN,J.C. Gestational diabetes in the United States: temporal trends 1989 through 2004. Am J Obstet Gynecol, 2008,VOL 198,e5,s:525
AMERICAN DIABETES ASSOCIATION. Diagnosis and Classification of Diabetes Mellitus. Diabetes Care, 2013, VOL36, SUPPL.1:S 71
MOKDAD,A.H.; FORD,E.S.; BOWMAN,B.A.; ET AL. Diabetes trends in the US: 1990-1998. Diabetes Care, 2000, 23:1278-1283
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Clinicians are occasionally faced with the dilemma of managing pregnant patients who require ongoing anticoagulation. Examples include women with mechanical heart valves, venous thromboembolism, and chronic atrial fibrillation. Methods : A prospe ctive study randomly assigned 33 pregnant women aged between 22 and 43 years (average; 28.4); to receive either fractionated heparin: Enoxaparin (The 1st group, n = 17) or unfractionated heparin (The second group, n=16). In both groups, patients were given heparin (fractionated or unfractionated) during the 1st trimester and last month of pregnancy, and took warfarin between the 4th and 8th month.
Background: Diabetes mellitus is a leading public health problem with increasing incidence and long term complications. These complications are mainly a consequence of macro-vascular and microvascular damages of the target organs. The incidence of several pulmonary abnormalities during the course of Diabetes Mellitus because the presence of an extensive microvascular circulation and abundant connective tissue in the lungs , raises the possibility that lung tissue may be a target organ in diabetic patients. Objectives: This research is designed to study the impact of DM and both the duration of the disease and the glycemic control on pulmonary function tests. Methodology: This is a cross-sectional study carried out on 75 patients with type II diabetes mellitus patients at Tishreen University Hospital in the period between October 2015 and October 2016 .We compared with a control group consisted of 75 non diabetic healthy persons . Measurement of HbA1C , fasting plasma glucose (FPG) , and spirometry were made to all subjects and the following pulmonary function parameters were recorded: Forced Expiratory Volume in the first second (FEV1), Forced Vital Capacity (FVC), and Forced Expiratory Volume percent (FEV1/ FVC%) . Results were analyzed by calculating Mean ± SD, using X2 test , Karl Pearson correlation and ANOVA test. Results: The mean FEV1, FVC, FEV1/FVC% values were low in diabetics (p value <0.05) compared to healthy non-diabetics (control group). Also, uncontrolled diabetics show a greater decrease in these values than controlled diabetics. There was a greater decrease in these values in patients with long period of disease . Conclusion: The findings of the present study suggest that, the lung is a target organ for damage in DM and diabetics show a decrease in PFTs with a restrictive pattern lesion compared with non-diabetics . And this deterioration is exaggerated in uncontrolled diabetics and with the long duration of DM .
Background: Diabetes mellitus type2 (T2DM) and thyroid dysfunction (TD) are the two most common endocrine disorders in clinical practice. The unrecognized TD may adversely affect the metabolic control and add more risk to an already predisposing s cenario for cardiovascular diseases. The objective of this study was to investigate the prevalence of TD in patients with type2 diabetes mellitus. Objective: To determine the prevalence and patterns of thyroid dysfunction in patients with type2 diabetes mellitus. Material and methods: Study included total 362 subjects (204 type2 diabetic patients and 158 healthy non diabetic subjects). Agroup of type2 diabetic patients and control group were evaluated for thyroid dysfunction by testing TSH and FT4 when TSH was abnormal. The correlation of prevalence of thyroid disorder with gender distribution, age distribution, duration of diabetes, BMI, treatment, fasting plasma glucose (FPG), serum triglyceride and serum cholesterol was then done in diabetic patients. The observations and interpretations were recorded and results obtained were statistically analyzed. Results: The prevalence of thyroid dysfunction among type2 diabetic patients was found to be 13,2%. In the control group, the prevalence of thyroid dysfunction was 6,3%. There was a significant difference between diabetics and control subjects p= 0,031.The most frequently TD in type2 diabetic patients was subclinical hypothyroidism (8,3%). Thyroid dysfunction was significantly correlated with gender (women > man), age < 60 years, FPG > 130mg/dl, TG > 150mg/dl and insulin treatment in type2 diabetic patients. Conclusion: Screening of thyroid dysfunction shoud be done in all Type2 diabetic patients.
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