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Database - Alliance francophone pour l'accouchement respecté (AFAR)

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Created on : 03 Nov 2004
Modified on : 01 Dec 2007

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Bibliographical entry (without author) :

Prospective Observational Study to Establish Predictors of Glyburide Success in Women with Gestational Diabetes Mellitus. Journal of Perinatology (2004) 24, 617-622.

Author(s) :

Chmait R, Dinise T, Moore T.

Year of publication :


URL(s) :…

Résumé (français)  :

Abstract (English)  :

OBJECTIVE: To establish parameters associated with therapeutic success in gestational diabetics treated with glyburide.

STUDY DESIGN: A total of 69 gestational diabetics who failed dietary therapy were treated with glyburide. Inadequate glycemic control on maximum dose glyburide (10 mg b.i.d.) was considered treatment failure. The glyburide failure rate was calculated and factors that might predict success with glyburide were analyzed between the success and failure groups using 2 or Student’st-tests.

RESULTS: The glyburide failure rate was 18.8%. Gestational age at glyburide initiation (p<0.01), pretreatment fasting blood sugars (p<0.001), and 1-hour postprandial values (p<0.001) were the only statistically significant factors between the two groups. Glyburide success was predicted if dietary failure occurred after 30 weeks, or fasting blood sugars were <110 mg/dl and 1-hour postprandials were <140 mg/dl (sensitivity 98%, specificity 65%).

CONCLUSION: Gestational diabetics who fail dietary therapy after 30 weeks gestation or have fasting blood sugars <110 mg/dl and 1-hour postprandials <140 mg/dl do well on glyburide therapy.

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Keywords :

➡ gestational diabetes

Author of this record :

Cécile Loup — 03 Nov 2004

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