Gestational Diabetes in New Zealand Ethnic Groups

Simple item page
aut.relation.endpage589
aut.relation.issue2en_NZ
aut.relation.journalIntegrative Molecular Medicineen_NZ
aut.relation.startpage583
aut.relation.volume3en_NZ
aut.researcherJowitt, Ljiljana
dc.contributor.authorJowitt, Len_NZ
dc.date.accessioned2019-01-22T21:45:30Z
dc.date.available2019-01-22T21:45:30Z
dc.date.copyright2016en_NZ
dc.date.issued2016en_NZ
dc.description.abstractIn New Zealand the rise in gestational diabetes mellitus (GDM) prevalence reflects the current patterns of increasing obesity and diabetes. Approximately 61,000 women give birth in New Zealand every year, and about 4.9% (6.6%) of those women have diabetes. Screening for gestational diabetes is recommended for all pregnant women in New Zealand, unless an earlier diagnosis of diabetes was made. Indigenous Maori women, Pacific Island, and Asian Indian women are populations genetically prone to diabetes, and have high rates of gestational and type 2 diabetes. Exposure of the foetus to maternal diabetes influences changes in birthweight, adiposity, and foetal insulin production. GDM and type 2 diabetes in Pacific Island and Maori new-borns were associated with higher birthweight, skinfold thicknesses, raised cord insulin, insulin peptides, and increased leptin concentrations. Pacific Island and indigenous Maori women gave birth to macrosomic new-borns, who commonly suffered postnatal hypoglycaemia, respiratory distress, and shoulder dystocia. The association between maternal obesity and SGA raises a concern as SGA is less likely to be detected in early pregnancy in obese women, while the association between SGA and socioeconomic status, initially observed in Maori and Pacific women, was explained by high cigarette smoking rates, and obesity in deprived areas.
dc.identifier.citationIntegrative Molecular Medicine, 3: DOI: 10.15761/IMM.1000208.
dc.identifier.doi10.15761/IMM.1000208en_NZ
dc.identifier.issn2056-6360en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/12173
dc.publisherOpen Access Text (OAT)
dc.relation.urihttp://www.oatext.com/Gestational-diabetes-in-New-Zealand-ethnic-groups.phpen_NZ
dc.rights©2016 Jowitt LM.This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectGestational diabetes mellitus; Obesity; Macrosomia; Hypoglycaemia; Ethnicity; New Zealand
dc.titleGestational Diabetes in New Zealand Ethnic Groupsen_NZ
dc.typeJournal Article
pubs.elements-id205470
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
pubs.organisational-data/AUT/Health & Environmental Science/Interprofessional Health
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HI Interprofessional 2018 PBRF
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
IMM-3-208 (1).pdf
Size:
307.52 KB
Format:
Adobe Portable Document Format
Description:
Journal article
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
AUT Grant of Licence for Scholarly Commons Feb2017.pdf
Size:
239.25 KB
Format:
Adobe Portable Document Format
Description:
Download
Collections
School of Interprofessional Health Studies