Úskalí screeningu gestačního diabetu v České republice – průzkum mezi pacienty

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Authors: P. Šimják ¹; K. Anderlová ^1,2; H. Krejčí ^1,2; V. Krejčí ¹; P. Pařízková ³; M. Mráz ^4,5; M. Kršek ⁶; M. Haluzík ^4,5,7,8; A. Pařízek ¹
Published in: Ceska Gynekol 2018; 83(5): 348-353
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Overview

Cíl:

Cílem naší studie bylo prozkoumat, jak probíhá screening gestačního diabetu v České republice s ohledem na správnost metodických postupů screeningu.

Metodika:

Celkem 1100 anonymních dotazníků bylo rozdáno těhotným ženám v prenatální poradně Gynekologicko-porodnické kliniky 1. LF UK a VFN v Praze v období od července do září 2015.

Výsledky:

958 (87,0 %) dotazníků bylo možno analyzovat; 794 (82,9 %) dotazovaných mělo alespoň jeden rizikový faktor pro vznik GDM. OGTT byl proveden u 751 (94,6 %) žen, s rizikovými faktory pro GDM a 153 (93,3 %) žen s nízkým rizikem rozvoje GDM. Z 904 provedených oGTT bylo 154 (17,0 %) provedeno zcela podle doporučených postupů. Ve zbývajících případech byla zaznamenána alespoň jedna metodická chyba. Výsledky oGTT poskytlo 364 (40,3 %) respondentů. V této skupině mělo 71 (19,5 %) žen pozitivní screening GDM podle kritérii Mezinárodní asociace pro studium diabetu v těhotenství (IADPSG). Většinou to však nebyly ty ženy, které byly gynekologem označeny jako screening pozitivní.

Závěr:

Screening GDM nebyl často proveden v souladu s doporučeným postupem a použitá diagnostická kritéria nebyla jednotná.

Klíčová slova:

gestační diabetes mellitus, screening, orální glukózový toleranční test, glykémie nalačno, průzkum

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