Racial and Ethnic Differences in Gestational Diabetes: Time to Get Serious

During pregnancy, profound metabolic changes may reveal a predisposition toward glucose intolerance, manifesting as gestational diabetes. Gestational diabetes increases the risk of adverse pregnancy outcomes, including macrosomia, preeclampsia, birth trauma, and neonatal hypoglycemia. Notably, this...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:JAMA : the journal of the American Medical Association 2021-08, Vol.326 (7), p.616-617
Hauptverfasser: Powe, Camille E, Carter, Ebony B
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 617
container_issue 7
container_start_page 616
container_title JAMA : the journal of the American Medical Association
container_volume 326
creator Powe, Camille E
Carter, Ebony B
description During pregnancy, profound metabolic changes may reveal a predisposition toward glucose intolerance, manifesting as gestational diabetes. Gestational diabetes increases the risk of adverse pregnancy outcomes, including macrosomia, preeclampsia, birth trauma, and neonatal hypoglycemia. Notably, this diagnosis has implications that outlast pregnancy. Estimates from systematic reviews suggest a markedly elevated risk of future diabetes in people with gestational diabetes, with as many as 50% to 70% of affected individuals developing overt diabetes later in life. In addition, individuals with a history of gestational diabetes have a higher risk of future cardiovascular disease compared with those who do not develop this common pregnancy complication. In the context of an ongoing epidemic of diabetes in the general population,6 the findings by Shah and colleagues reported in this issue of JAMA are particularly concerning: gestational diabetes rates among nulliparous women have increased in the US.
doi_str_mv 10.1001/jama.2021.7520
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2562233879</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><ama_id>2783093</ama_id><sourcerecordid>2571489162</sourcerecordid><originalsourceid>FETCH-LOGICAL-a274t-2d58a3bfa313c5ae879e81e407f28dfaeb56cdb3d7df737929496803191e7d3f3</originalsourceid><addsrcrecordid>eNpdkL1PwzAQxS0EEqWwMjBFYmFJsH1JbLOhtnypEhKU2XKSs3CVj2KnA_89jgoLt5x093und4-QS0YzRim73ZrOZJxylomC0yMyYwXIFAolj8mMUiVTkcv8lJyFsKWxGIgZeXkztTNtYvomWY2fvauTpbMWPfY1hsT1ySOG0Yxu6CO1dKbCEcNdsnEdJuMQt2Pyjt4N-3BOTqxpA1789jn5eFhtFk_p-vXxeXG_Tg0X-ZjyppAGKmuAQV0YlEKhZJhTYblsrMGqKOumgkY0VoBQXOWqlBSYYigasDAnN4e7Oz987aM73blQY9uaHqMNzYuSc4B4N6LX_9DtsPfxk4kSLJeKlTxS2YGq_RCCR6t33nXGf2tG9RStnqLVU7R6ijYKrg6CafzHciGBKoAfH_1zSg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2571489162</pqid></control><display><type>article</type><title>Racial and Ethnic Differences in Gestational Diabetes: Time to Get Serious</title><source>American Medical Association Journals</source><creator>Powe, Camille E ; Carter, Ebony B</creator><creatorcontrib>Powe, Camille E ; Carter, Ebony B</creatorcontrib><description>During pregnancy, profound metabolic changes may reveal a predisposition toward glucose intolerance, manifesting as gestational diabetes. Gestational diabetes increases the risk of adverse pregnancy outcomes, including macrosomia, preeclampsia, birth trauma, and neonatal hypoglycemia. Notably, this diagnosis has implications that outlast pregnancy. Estimates from systematic reviews suggest a markedly elevated risk of future diabetes in people with gestational diabetes, with as many as 50% to 70% of affected individuals developing overt diabetes later in life. In addition, individuals with a history of gestational diabetes have a higher risk of future cardiovascular disease compared with those who do not develop this common pregnancy complication. In the context of an ongoing epidemic of diabetes in the general population,6 the findings by Shah and colleagues reported in this issue of JAMA are particularly concerning: gestational diabetes rates among nulliparous women have increased in the US.</description><identifier>ISSN: 0098-7484</identifier><identifier>EISSN: 1538-3598</identifier><identifier>DOI: 10.1001/jama.2021.7520</identifier><language>eng</language><publisher>Chicago: American Medical Association</publisher><subject>Cardiovascular diseases ; Diabetes mellitus ; Epidemics ; Gestational diabetes ; Glucose tolerance ; Health risks ; Hypoglycemia ; Intolerance ; Neonates ; Pre-eclampsia ; Pregnancy ; Risk ; Trauma</subject><ispartof>JAMA : the journal of the American Medical Association, 2021-08, Vol.326 (7), p.616-617</ispartof><rights>Copyright American Medical Association Aug 17, 2021</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-a274t-2d58a3bfa313c5ae879e81e407f28dfaeb56cdb3d7df737929496803191e7d3f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://jamanetwork.com/journals/jama/articlepdf/10.1001/jama.2021.7520$$EPDF$$P50$$Gama$$H</linktopdf><linktohtml>$$Uhttps://jamanetwork.com/journals/jama/fullarticle/10.1001/jama.2021.7520$$EHTML$$P50$$Gama$$H</linktohtml><link.rule.ids>64,314,776,780,3327,27901,27902,76458,76461</link.rule.ids></links><search><creatorcontrib>Powe, Camille E</creatorcontrib><creatorcontrib>Carter, Ebony B</creatorcontrib><title>Racial and Ethnic Differences in Gestational Diabetes: Time to Get Serious</title><title>JAMA : the journal of the American Medical Association</title><description>During pregnancy, profound metabolic changes may reveal a predisposition toward glucose intolerance, manifesting as gestational diabetes. Gestational diabetes increases the risk of adverse pregnancy outcomes, including macrosomia, preeclampsia, birth trauma, and neonatal hypoglycemia. Notably, this diagnosis has implications that outlast pregnancy. Estimates from systematic reviews suggest a markedly elevated risk of future diabetes in people with gestational diabetes, with as many as 50% to 70% of affected individuals developing overt diabetes later in life. In addition, individuals with a history of gestational diabetes have a higher risk of future cardiovascular disease compared with those who do not develop this common pregnancy complication. In the context of an ongoing epidemic of diabetes in the general population,6 the findings by Shah and colleagues reported in this issue of JAMA are particularly concerning: gestational diabetes rates among nulliparous women have increased in the US.</description><subject>Cardiovascular diseases</subject><subject>Diabetes mellitus</subject><subject>Epidemics</subject><subject>Gestational diabetes</subject><subject>Glucose tolerance</subject><subject>Health risks</subject><subject>Hypoglycemia</subject><subject>Intolerance</subject><subject>Neonates</subject><subject>Pre-eclampsia</subject><subject>Pregnancy</subject><subject>Risk</subject><subject>Trauma</subject><issn>0098-7484</issn><issn>1538-3598</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNpdkL1PwzAQxS0EEqWwMjBFYmFJsH1JbLOhtnypEhKU2XKSs3CVj2KnA_89jgoLt5x093und4-QS0YzRim73ZrOZJxylomC0yMyYwXIFAolj8mMUiVTkcv8lJyFsKWxGIgZeXkztTNtYvomWY2fvauTpbMWPfY1hsT1ySOG0Yxu6CO1dKbCEcNdsnEdJuMQt2Pyjt4N-3BOTqxpA1789jn5eFhtFk_p-vXxeXG_Tg0X-ZjyppAGKmuAQV0YlEKhZJhTYblsrMGqKOumgkY0VoBQXOWqlBSYYigasDAnN4e7Oz987aM73blQY9uaHqMNzYuSc4B4N6LX_9DtsPfxk4kSLJeKlTxS2YGq_RCCR6t33nXGf2tG9RStnqLVU7R6ijYKrg6CafzHciGBKoAfH_1zSg</recordid><startdate>20210817</startdate><enddate>20210817</enddate><creator>Powe, Camille E</creator><creator>Carter, Ebony B</creator><general>American Medical Association</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7QP</scope><scope>7TK</scope><scope>7TS</scope><scope>7U7</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope></search><sort><creationdate>20210817</creationdate><title>Racial and Ethnic Differences in Gestational Diabetes: Time to Get Serious</title><author>Powe, Camille E ; Carter, Ebony B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a274t-2d58a3bfa313c5ae879e81e407f28dfaeb56cdb3d7df737929496803191e7d3f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Cardiovascular diseases</topic><topic>Diabetes mellitus</topic><topic>Epidemics</topic><topic>Gestational diabetes</topic><topic>Glucose tolerance</topic><topic>Health risks</topic><topic>Hypoglycemia</topic><topic>Intolerance</topic><topic>Neonates</topic><topic>Pre-eclampsia</topic><topic>Pregnancy</topic><topic>Risk</topic><topic>Trauma</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Powe, Camille E</creatorcontrib><creatorcontrib>Carter, Ebony B</creatorcontrib><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>JAMA : the journal of the American Medical Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Powe, Camille E</au><au>Carter, Ebony B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Racial and Ethnic Differences in Gestational Diabetes: Time to Get Serious</atitle><jtitle>JAMA : the journal of the American Medical Association</jtitle><date>2021-08-17</date><risdate>2021</risdate><volume>326</volume><issue>7</issue><spage>616</spage><epage>617</epage><pages>616-617</pages><issn>0098-7484</issn><eissn>1538-3598</eissn><abstract>During pregnancy, profound metabolic changes may reveal a predisposition toward glucose intolerance, manifesting as gestational diabetes. Gestational diabetes increases the risk of adverse pregnancy outcomes, including macrosomia, preeclampsia, birth trauma, and neonatal hypoglycemia. Notably, this diagnosis has implications that outlast pregnancy. Estimates from systematic reviews suggest a markedly elevated risk of future diabetes in people with gestational diabetes, with as many as 50% to 70% of affected individuals developing overt diabetes later in life. In addition, individuals with a history of gestational diabetes have a higher risk of future cardiovascular disease compared with those who do not develop this common pregnancy complication. In the context of an ongoing epidemic of diabetes in the general population,6 the findings by Shah and colleagues reported in this issue of JAMA are particularly concerning: gestational diabetes rates among nulliparous women have increased in the US.</abstract><cop>Chicago</cop><pub>American Medical Association</pub><doi>10.1001/jama.2021.7520</doi><tpages>2</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0098-7484
ispartof JAMA : the journal of the American Medical Association, 2021-08, Vol.326 (7), p.616-617
issn 0098-7484
1538-3598
language eng
recordid cdi_proquest_miscellaneous_2562233879
source American Medical Association Journals
subjects Cardiovascular diseases
Diabetes mellitus
Epidemics
Gestational diabetes
Glucose tolerance
Health risks
Hypoglycemia
Intolerance
Neonates
Pre-eclampsia
Pregnancy
Risk
Trauma
title Racial and Ethnic Differences in Gestational Diabetes: Time to Get Serious
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-21T19%3A27%3A14IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Racial%20and%20Ethnic%20Differences%20in%20Gestational%20Diabetes:%20Time%20to%20Get%20Serious&rft.jtitle=JAMA%20:%20the%20journal%20of%20the%20American%20Medical%20Association&rft.au=Powe,%20Camille%20E&rft.date=2021-08-17&rft.volume=326&rft.issue=7&rft.spage=616&rft.epage=617&rft.pages=616-617&rft.issn=0098-7484&rft.eissn=1538-3598&rft_id=info:doi/10.1001/jama.2021.7520&rft_dat=%3Cproquest_cross%3E2571489162%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2571489162&rft_id=info:pmid/&rft_ama_id=2783093&rfr_iscdi=true