Medical Surveillance Monthly Report (MSMR). Volume 15, Number 4, May 2008
ARMED FORCES HEALTH SURVEILLANCE CENTER SILVER SPRING MD
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Gestational diabetes mellitus GDM is defined as glucose intolerance first identified during pregnancy. During the past 10 years, among women serving in active components of the U.S Armed Forces, the proportion of first pregnancies according to military medical records that were complicated by GDM has more than doubled, from 3.3 to 8.1 percent. This may be associated with improved screening for GDM, increasing maternal age at first pregnancy, documented increases in the proportions of nonwhite female service members andor the rising prevalence of service members with a history of overweight. Between 1996 and 2006, the percentage of 18-year-old female applicants who were nominally overweight BMI25 climbed from 19 to 28. Maternal obesity is the most important modifiable risk factor for GDM. Several studies have suggested that excessive pre-pregnancy weight and weight gain prior to pregnancy increase GDM risk. This report seeks to determine the relationship between body mass index prior to military service and GDM during a service members first documented pregnancy. In addition, outpatient diagnoses.
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