Abstract
This study examines the hypothesis that twin gestation is a risk factor for gestational diabetes. In a retrospective analysis, the incidence of gestational diabetes in twin and singleton pregnancies was determined in groups matched for maternal age, weight, and parity. One-hour oral glucose challenge tests (50 g) were used to screen 9185 pregnant women. Gestational diabetes was diagnosed when abnormal screens (> or = 130 mg/dL) were followed by two or more abnormal values on a 3-hour (100 g) glucose tolerance test using National Diabetes Data Group (NDDG) criteria. A twin gestation was identified in 1.5% (138/9185) of the pregnancies. Gestational diabetes was diagnosed in 5.8% (8/138) and 5.4% (439/9047) of the twin and singleton pregnancies, respectively. The incidence of gestational diabetes is similar for singleton and twin gestations.
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Selected References
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- Dwyer P. L., Oats J. N., Walstab J. E., Beischer N. A. Glucose tolerance in twin pregnancy. Aust N Z J Obstet Gynaecol. 1982 Aug;22(3):131–134. doi: 10.1111/j.1479-828x.1982.tb01425.x. [DOI] [PubMed] [Google Scholar]
- Kovacs B. W., Kirschbaum T. H., Paul R. H. Twin gestations: I. Antenatal care and complications. Obstet Gynecol. 1989 Sep;74(3 Pt 1):313–317. [PubMed] [Google Scholar]
- LUNDBAEK K. Intravenous glucose tolerance as a tool in definition and diagnosis of diabetes mellitus. Br Med J. 1962 Jun 2;1(5291):1507–1513. doi: 10.1136/bmj.1.5291.1507. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Naidoo L., Jailal I., Moodley J., Desai R. Intravenous glucose tolerance tests in women with twin pregnancy. Obstet Gynecol. 1985 Oct;66(4):500–502. [PubMed] [Google Scholar]
- Spellacy W. N., Buhi W. C., Birk S. A. Carbohydrate metabolism in women with a twin pregnancy. Obstet Gynecol. 1980 Jun;55(6):688–691. [PubMed] [Google Scholar]
- Spellacy W. N., Buhi W. C., Birk S. A. Human placental lactogen levels in multiple pregnancies. Obstet Gynecol. 1978 Aug;52(2):210–212. [PubMed] [Google Scholar]
- Trapp M., Kato K., Bohnet H. G., Gerhard I., Weise H. C., Leidenberger F. Human placental lactogen and unconjugated estriol concentrations in twin pregnancy: monitoring of fetal development in intrauterine growth retardation and single intrauterine fetal death. Am J Obstet Gynecol. 1986 Nov;155(5):1027–1031. doi: 10.1016/0002-9378(86)90339-x. [DOI] [PubMed] [Google Scholar]