医学
血糖
妊娠期糖尿病
糖尿病
筛选试验
糖耐量试验
内科学
内分泌学
诊断试验
产科
妊娠期
怀孕
儿科
胰岛素抵抗
生物
遗传学
作者
Marshall W. Carpenter,Donald R. Coustan
标识
DOI:10.1016/0002-9378(82)90349-0
摘要
A 50 gm, 1-hour glucose screening test was given to 381 gravid women 25 years of age or older. All women with plasma glucose values ≥130 mg/dl (119 mg/dl, whole blood) were given a 100 gm, 3-hour glucose tolerance test to diagnose gestational glucose intolerance using O'Sullivan's diagnostic criteria. On the basis of the distribution of screening test values, three diagnostic zones could be identified: a zone below 135 mg/dl plasma glucose, with less than 1% probability of diabetes; a zone above 182 mg/dl plasma glucose, with more than 95% probability of diabetes; and a central zone of uncertainty (135 to 182 mg/dl, plasma glucose), where further testing is required. These test results suggest that thresholds for further testing be lowered from 143 to 135 mg/dl of plasma glucose.
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