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O c t o b e r 1 5 - 1 6 , 2 0 1 8 | T o k y o , J a p a n
Obesity Congress 2018, Diabetes Congress 2018 & Vaccines Congress 2018 Biomedical Research | ISSN: 0976-1683| Volume 29
2nd WORLD OBESITY CONGRESS
2nd WORLD VACCINES AND IMMUNOLOGY CONGRESS
&
&
DIABETES AND ENDOCRINOLOGY
International Conference on
Joint Event on
OF EXCELLENCE
IN INTERNATIONAL
MEETINGS
YEARS
Nusrat Sultana, Biomed Res 2018, Volume 29 | DOI: 10.4066/biomedicalresearch-C5-013
PREVALENCE OF GESTATIONAL DIABETES
MELLITUS AND ITS RISK FACTORS:
BANGLADESH PERSPECTIVE
Nusrat Sultana
Bangabandhu Sheikh Mujib Medical University, Bangladesh
Gestational diabetes mellitus (GDM) defined as diabetes diagnosed in the
second and third trimesters of pregnancy has emerged as a global public
health concern. The global prevalence of GDM varies widely from 1% to 28%,
depending on population characters (ethnicity, body mass index (BMI), ma-
ternal age, family history of diabetes), method of screening and diagnostic
criteria. There is higher prevalence of GDM observed in Eastern and South
Eastern Asia given the changed socioeconomic condition and nutritional sta-
tus. When ethnic/racial variability is the concern, Asians are high risk group.
In Bangabandhu Sheikh Mujib Medical University (BSMMU), several studies
on GDM were done to see the prevalence utilizing different diagnostic meth-
ods. Prevalence of GDM at BSMMU was 36% by WHO-1999 criterion while it
was 32% by O’Sullivan, carried out on the same population (n=385). A second
study on 320 pregnant mothers found the frequency of 32% by WHO-2013
criterion and 31% by WHO-1999 criterion. Another study by using WHO-2013
method found a frequency of 29% (n=204). All the studies revealed a com-
mon finding of maternal obesity, increased age and family history of diabe-
tes as risk factors. We also studied some biomarkers like high sensitivity C
reactive protein, TNF-α, fibrinogen levels in GDM mothers and found its as-
sociation with occurrence of GDM. We also studied hormonal profiles like
human placental lactogen and prolactin and found no significant association
for GDM. Study on different insulin indices showed significant difference be-
tween GDM and normal mothers. The alarming frequency of GDM warrants
further exploration.
Nusrat Sultana is working as Assistant Professor in the
Department of Endocrinology, Bangabandhu Sheikh
Mujib Medical University (BSMMU). She obtained her
fellowship (FCPS) in Internal Medicine from Bangladesh
College of Physicians and Surgeons in the year 2010
and MD in Endocrinology and Metabolism (EM) from
BSMMU in 2014. She has more than 25 scientific papers
published in different national and international journals.
Her major research areas are GDM and diabetes in young
(under 30) population.
BIOGRAPHY