Efficacy of the gestational diabetes mellitus diagnostics on the basis of glycohemoglobin evaluation

The data prove that the gestational diabetes mellitus (GDM) complicates 0.15 to 11.6% pregnancies. It is proved that the indicator of expressiveness and degree of indemnification of infringements of a carbohydrate exchange is level HbA1с. The research objective was screening of GDM by the conventional methods and definition of diagnostic value of HbA1c research for diagnostics of GDM. Research was performed on the basis of maternity homes No. 4, 2, 3 in Tomsk. As a result of total screeningdefinition of risk factors and carrying out the standard test of tolerance to glucose (GTT) 74 pregnant women were included in the research. HbA1c level research also was conducted in the pregnant women. In 6 weeks the retest of indicators of a carbohydrate exchange (research HbA1c and STTG from 75 of glucose) was performed. The recommendation of HbA1c research using for GDM diagnostics in routine practice of gynecologists was proved. The analysis confirms its conclusive diagnostic value and the biggest sensitivity in comparison with GTT.