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ABSTRACT: Background
Hyperglycemia in pregnancy (HIP) has been recently differentiated between diabetes in pregnancy (DIP) and gestational diabetes mellitus (GDM). The proposed protocol is relevant, and clinical concern is due to the higher risk of adverse pregnancy outcomes (APO) and long-term effects on both the mother and the fetus. Fasting plasma glucose level (FPG) and oral glucose tolerance test (OGTT) are current diagnostic tools. However, controversy persists concerning diagnostic criteria, cut-off points, and even selective or universal screening. The objective of this systematic review is to assess the performance of metabolomic markers in the prediction of HIP.Methods
This is a protocol for a systematic review with potential meta-analysis. The primary outcome is GDM, defined as glucose intolerance identified in the second and third trimesters of pregnancy (any FPG ??92?mg/dL and DiscussionThis systematic review may have the potential to provide significant evidence-based findings on the prediction performance of metabolomics. There are short and long-term repercussions for the mother and the newborn. Therefore, both may benefit from an accurate prediction technique for HIP.Systematic review registration
This protocol was registered in the PROSPERO platform under number CRD42018100175 .
SUBMITTER: Nicolosi BF
PROVIDER: S-EPMC6708156 | biostudies-literature | 2019 Aug
REPOSITORIES: biostudies-literature
Nicolosi Bianca Fioravanti BF Leite Debora F DF Mayrink Jussara J Souza Renato T RT Cecatti José Guilherme JG Calderon Iracema de Mattos Paranhos IMP
Systematic reviews 20190824 1
<h4>Background</h4>Hyperglycemia in pregnancy (HIP) has been recently differentiated between diabetes in pregnancy (DIP) and gestational diabetes mellitus (GDM). The proposed protocol is relevant, and clinical concern is due to the higher risk of adverse pregnancy outcomes (APO) and long-term effects on both the mother and the fetus. Fasting plasma glucose level (FPG) and oral glucose tolerance test (OGTT) are current diagnostic tools. However, controversy persists concerning diagnostic criteria ...[more]