Secular Trends of Gestational Diabetes Mellitus and Changes in Its Risk Factors

The aim of this study was to evaluate the secular trends of incidence of gestational diabetes mellitus (GDM) and insulin treatment for GDM in a Korean population and to determine the factors that contribute to the trends in the incidence of GDM. We used data collected by the Health Insurance Review...

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Bibliographic Details
Published in:PloS one 2015-08, Vol.10 (8), p.e0136017-e0136017
Main Authors: Cho, Geum Joon, Kim, Log Young, Sung, Ye Na, Kim, Jee Ae, Hwang, Soon Young, Hong, Hye-Ri, Hong, Soon-Cheol, Oh, Min-Jeong, Kim, Hai-Joong
Format: Article
Language:English
Subjects:
Adult
Age Factors
Data processing
Diabetes mellitus
Diabetes, Gestational - epidemiology
Diabetes, Gestational - etiology
Female
Gestational diabetes
Glucose
Health insurance
Health risk assessment
Health risks
Humans
Incidence
Insulin
Obesity
Parity
Pregnancy
Prevalence
Republic of Korea - epidemiology
Retrospective Studies
Risk analysis
Risk Factors
Trends
Womens health
Young Adult
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Summary:The aim of this study was to evaluate the secular trends of incidence of gestational diabetes mellitus (GDM) and insulin treatment for GDM in a Korean population and to determine the factors that contribute to the trends in the incidence of GDM. We used data collected by the Health Insurance Review & Assessment Service of Korea and analyzed data from women who had given birth from 2006 to 2010. We evaluated the trends in the incidence of GDM and GDM requiring insulin treatment and the changes in risk factors. There were 1,824,913 births during the study period, which included 129,666 cases of GDM, an incidence of 7.11% over this period. The incidence of GDM increased from 3.86% in 2007 to 11.83% in 2010, with a continuous increase after adjustment for age. However, the number of GDM cases that required insulin treatment decreased significantly from 13.87% in 2007 to 5.94% in 2010. The proportion of patients who were at an older age and multiparity, 2 GDM risk factors, increased during the study period. In Korea, the incidence of GDM, especially mild GDM, increased dramatically during the period from 2006 to 2010. Further efforts are needed to monitor this trend and to identify associated factors.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0136017