Z Score,T Score, Percential Rank and Box Plot Graph
Gestational diabetes
1. Gestational Diabetes Yannis Dimitropoulos ST3 in Diabetes and Endocrinology Torbay Hospital Buckfast Abbey Diabetes and Endocrinology Training Day 07/05/2010
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5. Deterioration of β cell function and insulin resistance in Type 2 diabetes 0 20 40 60 80 100 Age ß-cell function (%) – 10 –8 –6 –4 –2 0 2 4 6 – 12 30 40 50 60 70
6. Deterioration of β cell function and insulin resistance in Gestational DM 0 20 40 60 80 100 Age ß-cell function (%) – 10 –8 –6 –4 –2 0 2 4 6 – 12 30 40 50 60 70
7. Why is it important to treat Gestational Diabetes?
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10. ACHOIS Results Outcome Intervention Routine Group Infants Number Number Total number 506 524 Birth weight 3335g 3482g Macrosomia (>4kg) 49 (10%) 110 (21%) Death (Neonatal/Stillbirth) 0 5 Stillbirth 0 3 Shoulder dystocia 7 16 Bone fracture 0 1 Nerve palsy 0 3 Jaundice 44 48
Type 2 diabetes is typically not diagnosed until Beta cell function has been significantly impaired. After diagnosis, beta cell function deteriorates linearly with time. Extrapolating back a graph of time vs. function from the UKPDS suggests that beta cell dysfunction begins many years before it results in a clinical presentation of type two diabetes.
Type 2 diabetes is typically not diagnosed until Beta cell function has been significantly impaired. After diagnosis, beta cell function deteriorates linearly with time. Extrapolating back a graph of time vs. function from the UKPDS suggests that beta cell dysfunction begins many years before it results in a clinical presentation of type two diabetes.
Women with at least one risk factor for GDM GTT 24-34 weeks – FPG <7.8 and 2-hr 7-8 - 11 1000 randomly assigned to ‘Intensive’ versus ‘Routine’ care ‘ Routine care’ – patients and physicians were not aware of the diagnosis of GDM
23,316 pregnant women at 15 centres in 9 countries with 75-g oral glucose-tolerance testing at 24 to 32 weeks of gestation. Blinded if fasting glucose <5.8 and 2-hour glucose <11.1 mmol/l
Reviewed the evidence from HAPO, ACHOIS and all other available smaller randomized trials.
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