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Fasting Plasma Glucose Is a Useful Test for the Detection of Gestational Diabetes

Overview of attention for article published in Diabetes Care, August 1998
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Title
Fasting Plasma Glucose Is a Useful Test for the Detection of Gestational Diabetes
Published in
Diabetes Care, August 1998
DOI 10.2337/diacare.21.8.1246
Pubmed ID
Authors

Angela J Reichelt, Ethel R Spichler, Leandro Branchtein, Luciana B Nucci, Laércio J Franco, Maria Inês Schmidt, Brazilian Study of Gestational Diabetes Working Group

Abstract

To evaluate fasting plasma glucose as a screening test for states of gestational diabetes. Baseline data of a cohort conducted in general prenatal care units in Brazil, enrolling 5,579 women aged > or = 20 years with gestational ages of 24-28 weeks at the time of testing and no previous diagnosis of diabetes. A standardized 2-h 75-g oral glucose tolerance test was performed in 5,010 women. Gestational diabetes and its subcategories--diabetes and impaired glucose tolerance--were defined according to the 1994 World Health Organization panel recommendations. We evaluated screening properties of calculated sensitivity and specificity for fasting plasma glucose with receiver operator characteristic curves. For detection of the subcategory diabetes, a fasting plasma glucose of 89 mg/dl jointly maximizes sensitivity (88%) and specificity (78%), identifying 22% of the women as test-positive. For detection of impaired glucose tolerance, a value of 85 mg/dl jointly maximizes sensitivity and specificity (68%), identifying as test-positive 35% of the women. Lowering the cut point to 81 mg/dl increases sensitivity to 81%, but decreases specificity to 54%, labeling as test-positive 49% of the women. Fasting plasma glucose is a useful test for the screening of both subcategories of gestational diabetes, a threshold of 85 mg/dl being an acceptable option. Effective screening for the subcategory diabetes can be achieved using a cut point of 89 mg/dl. If greater emphasis is placed on the detection of impaired glucose tolerance, a lower value, 81 mg/dl, may be needed.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 25 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 25 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 5 20%
Researcher 3 12%
Other 2 8%
Librarian 2 8%
Unspecified 2 8%
Other 6 24%
Unknown 5 20%
Readers by discipline Count As %
Medicine and Dentistry 7 28%
Nursing and Health Professions 5 20%
Unspecified 2 8%
Social Sciences 2 8%
Agricultural and Biological Sciences 1 4%
Other 3 12%
Unknown 5 20%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 11 December 2020.
All research outputs
#8,537,346
of 25,377,790 outputs
Outputs from Diabetes Care
#6,487
of 10,605 outputs
Outputs of similar age
#9,921
of 31,223 outputs
Outputs of similar age from Diabetes Care
#20
of 41 outputs
Altmetric has tracked 25,377,790 research outputs across all sources so far. This one is in the 43rd percentile – i.e., 43% of other outputs scored the same or lower than it.
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We're also able to compare this research output to 41 others from the same source and published within six weeks on either side of this one. This one is in the 4th percentile – i.e., 4% of its contemporaries scored the same or lower than it.