 | The 131st Annual Meeting (November 15-19, 2003) of APHA |
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| The 131st Annual Meeting (November 15-19, 2003) of APHA |
Pradeep alur, MD, Neonatology/Pediatrics, GUam Memorial Hospital Authority, 850 Gov. Carlos G. Camacho Rd,, OKA, Tamuning, Guam 96913 and Paula Brinkley, MD, MPH, Division of Public Health, Guam Dept of Public Health and Social Services, P.O. Box 2816, Hagatna, Guam 96910, 6717357305, pbrinkley@dphss.govguam.net.
Background: Guam has a population of 150,000 consisting mainly of Chamorros and with natives of Yap, Palau, Marshall Islands, Chuk and Philippines. 9.5% of population has diabetes mellitus. Diabetes complicating pregnancy has not been reported. 90% of the births occur @one hospital. Design/Methods: A retrospective study of prevalence of IDM was conducted at GMHA for the years 2000, 2001 first half of 2002. All the subjects were identified from the obstetric records. Corresponding infants charts were evaluated. Diabetes was screened @ 28 weeks gestation following 50 grams of oral glucose. Diabetes was confirmed with first hour serum glucose of ³140. Results: There were 332 infants of diabetic mothers in 2 1/2 years out of total births of 7375 with an incidence rate of 4.5% of the births. 82% were gestational diabetic mothers. The mean birth weight was 3243 grams and mean gestational age was 38 weeks. 50.3% were Chammorros. 3% needed ventilatory care. Hypoglycemia occured in 40% and recurrent (> 2) in 14%. 3.6% of IDMs had some form of congenital heart defect & 1/3 of whom were complex like DORV, coarctation with tricuspid atresia. LGAs were 11% of IDMs in contrast to 6.4% of total births. Conclusions: We report the first epidemiological data on IDMs in micronesian population. 37% of IDMs stayed > 2 days in the hospital. 11% needed prolonged O2 requirements (>2 days). IDMs accounted for majority of expensive off-island transports. Hence, early recognition and management of diabetes during pregnancy will help not only to reduce the morbidity in the Micronesian infants but may also reduce the local government’s economic burden.
Learning Objectives:
Keywords: Community-Based Public Health, Diabetes
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.