Strategic Interventions in the Management of Gestational Diabetes to Reduce Type 2 Diabetes Mellitus in Women in Malaysia
- Author:
Sivalingam Nalliah
- Publication Type:Editorial
- MeSH:
Diabetes Mellitus;
Diabetes, Gestational
- From:
The Medical Journal of Malaysia
2015;70(4):211-213
- CountryMalaysia
- Language:English
-
Abstract:
According to the Global status report on non-communicable
diseases 2010, the prevalence of high blood sugars among
adults exceeds 11 % in both males and females in Malaysia.
This is the highest among ASEAN countries. This ties up
closely with the prevalence of overweight adults in both sexes
in the same report, again Malaysians rank highest among
ASEAN countries. The burden of diabetes mellitus in
Malaysia is estimated to be 12% of the population with a
projected figure exceeding 15 % in 2020.
1
This enormous rise in both obesity and hyperglycaemia in
adults is alarming and clear strategies to combat this noncommunicable
disease is urgently warranted. One such
strategy is to relook at the focussed approach of gestational
diabetes mellitus (GDM) management currently in vogue in
Malaysia, and suggest more effective preventive measures in
view of information currently coming to light on both short
and long term implications of GDM on both mother and
offspring.
Although information on actual prevalence of GDM in
Malaysia is lacking, available crude data from hospital births
obtained from the National Obstetric Register in 2010
involving 14 major government hospitals was 9.9% with
Indians ranking highest followed by Malays and Chinese.
Incidence of macrosomia in GDM mothers was double that of
non-GDM mothers. A higher caesarean section rate with a
threefold increase in shoulder dystocia was also recorded in
those with GDM.
- Full text:P020151109496837727285.pdf
