Laboratory diagnosis of overt type 2 diabetes in the first trimester of pregnancy

Karen L. Hessler, Kathleen Dunemn

Research output: Contribution to journalArticle

Abstract

Objective: The objective of this study was to compare the use of hemoglobin A1C to oral glucose tolerance testing to diagnose overt type 2 diabetes in the first trimester of pregnancy. The study used a nonexperimental descriptive design to compare the use of the hemoglobin A1C test results to oral glucose tolerance test results. Methods: The study used a sample of 45 women at high risk for type 2 diabetes in the first trimester of pregnancy. Participants were consented to draw a hemoglobin A1C with their ordered oral glucose tolerance testing for comparison of the two tests' ability to diagnose overt type 2 diabetes. Results: Hemoglobin A1C tests were highly positively correlated with oral glucose tolerance testing for diagnosis of type 2 diabetes in women in the first trimester of pregnancy. Conclusion: The research provides beginning evidence that the hemoglobin A1C should be considered as a first-tier diagnostic test for overt type 2 diabetes in the first trimester of pregnancy.

Original languageEnglish (US)
Pages (from-to)521-526
Number of pages6
JournalJournal of the American Association of Nurse Practitioners
Volume29
Issue number9
DOIs
StatePublished - Sep 2017

Keywords

  • Diabetes mellitus
  • advanced practice nurse
  • diagnosis of diabetes
  • nurse practitioner
  • pregnancy
  • prenatal care
  • screening

ASJC Scopus subject areas

  • Nursing(all)

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