@article{LI_Lin_Li_Cui_Zhou_Fan_2019, title={First-trimester fasting plasma glucose as a predictor of gestational diabetes mellitus and the association with adverse pregnancy outcomes: FPG predicting for GDM}, volume={35}, url={https://www.pjms.org.pk/index.php/pjms/article/view/216}, DOI={10.12669/pjms.35.1.216}, abstractNote={<p><em><strong>Objective:</strong></em> To evaluate the usefulness of a fasting plasma glucose (FPG) at the first trimester in predicting gestational diabetes mellitus (GDM) and the association between FPG and adverse pregnancy outcomes.</p> <p><em><strong>Methods:</strong></em> The levels of FPG in women with singleton pregnancies were measured at 9-13+6 weeks. A two hour 75-g oral glucose tolerance test (OGTT) was completed at 24-28 weeks and the International Association of Diabetes and Pregnancy Study Groups (IADPSG) criteria was used. Adverse pregnancy outcomes were assessed and recorded.</p> <p><em><strong>Results:</strong></em> Among 2112 pregnant women enrolled in the study, 224 (10.6%) subjects were diagnosed with GDM. The AUC for FPG in predicting GDM was 0.63 (95% CI 0.61- 0.65) and the optimal cutoff value was 4.5 mmol/L (sensitivity 64.29% and specificity 56.45%). Higher&nbsp;first-trimester FPG increased the prevalence of GDM, large for gestational age (LGA) and assisted vaginal&nbsp;delivery and/or cesarean&nbsp;section (all P &lt; 0.05).</p> <p><em><strong>Conclusion:</strong></em> FPG at first trimester could be used to predict GDM and higher first-trimester FPG was associated with adverse pregnancy outcomes.</p> <p><em><strong>How to cite this:</strong></em><br>Li P, Lin S, Li L, Cui J, Zhou S, Fan J. First-trimester fasting plasma glucose as a predictor of&nbsp;gestational diabetes mellitus and the association with&nbsp;adverse pregnancy outcomes. Pak J Med Sci. 2019;35(1):95-100. <br>doi: https://doi.org/10.12669/pjms.35.1.216</p> <p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</p&gt;}, number={1}, journal={Pakistan Journal of Medical Sciences}, author={LI, Ping and Lin, Shuo and Li, Ling and Cui, Jinhui and Zhou, Shuisheng and Fan, Jianhui}, year={2019}, month={Jan.} }