ЧАСТОТА И МЕДИКО-СОЦИАЛЬНЫЕ ОСОБЕННОСТИ БЕРЕМЕННЫХ С ГЕСТАЦИОННЫМ САХАРНЫМ ДИАБЕТОМ В СОЧЕТАНИИ С АНЕМИЕЙ

Abstract

Objective: To determine the frequency and medical and social aspects of gestational diabetes mellitus (GDM) in combination with anemia in pregnant women. Methods: 1661 pregnant women were examined in conditions of Reproductive Health Centers in Dushanbe. In order to detect GDM, a one-step oral glucose tolerance test (OGTT) was carried out using 75 g of anhydrous glucose dissolved in 250-300 ml of boiled water. Diagnostic threshold values of plasma glucose concentration were: fasting ≥5.1 mmol/l; after 1 hour of glucose load ≥10.0 mmol/l; after 2 hours of glucose load ≥8.5-11.0 mmol/l. The severity of anemia was determined by the results of hemoglobin in the blood and clinical signs Results: After OGTT, GDM was found in 36.5% of pregnant women, including 15.9% of women with anemia and without it, 20.6%. Pregnant women with the presence of GDM were older (25.4±5.2 years) compared with pregnant women without GDM (24.9±5.0 years). The combination of GDM with anemia in the studied population most often occurred in the examined women aged 25-29 years (31.5%), in multiparous (21.7%) and in obese patients (8.0%). Conclusion: The frequency and medical and social characteristics of gestational diabetes mellitus in combination with anemia are associated with age, parity, the socio-economic status of women, body mass index. Keywords: Gestational diabetes mellitus, anemia, pregnancy, age, parity, body mass index.