Evidence mapPaperPMID 32365670Full record

ArticleInternational journal of environmental research and public health2020

High Prevalence of Gestational Diabetes Mellitus in Rural Tanzania-Diagnosis Mainly Based on Fasting Blood Glucose from Oral Glucose Tolerance Test.

Louise Groth Grunnet, Line Hjort, Daniel Thomas Minja, Omari Abdul Msemo, Sofie Lykke Møller, Rashmi B Prasad, Leif Groop, John Lusingu, Birgitte Bruun Nielsen, Christentze Schmiegelow and 2 more

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Fasting plasma glucose performs better than glycated hemoglobin and glycated albumin for diagnosing gestational diabetes.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 4 countries.

Louise Groth GrunnetDiabetes and Bone-Metabolic Research Unit, Department of Endocrinology, Rigshospitalet, 2100 Copenhagen, Denmark.
Line HjortDiabetes and Bone-Metabolic Research Unit, Department of Endocrinology, Rigshospitalet, 2100 Copenhagen, Denmark.ORCID 0000-0003-4673-4176
Daniel Thomas MinjaNational Institute for Medical Research, Tanga Center, Tanga 5004, Tanzania.ORCID 0000-0001-6159-4664
Omari Abdul MsemoNational Institute for Medical Research, Tanga Center, Tanga 5004, Tanzania.
Sofie Lykke MøllerSection of Global Health, Department of Public Health, University of Copenhagen, 1422 Copenhagen, Denmark.
Rashmi B PrasadDepartment of Clinical Sciences, Clinical Research Centre, Lund University, 22100 Malmø, Sweden.ORCID 0000-0002-4400-6741
Leif GroopDepartment of Clinical Sciences, Clinical Research Centre, Lund University, 22100 Malmø, Sweden.
John LusinguNational Institute for Medical Research, Tanga Center, Tanga 5004, Tanzania.
Birgitte Bruun NielsenDepartment of Obstetrics and Gynaecology, Aarhus University Hospital, N 8200 Aarhus, Denmark.
Christentze SchmiegelowCentre for Medical Parasitology, Department of Immunology and Microbiology, University of Copenhagen, N 2200 Copenhagen, Denmark.
Ib Christian BygbjergSection of Global Health, Department of Public Health, University of Copenhagen, 1422 Copenhagen, Denmark.
Dirk Lund ChristensenSection of Global Health, Department of Public Health, University of Copenhagen, 1422 Copenhagen, Denmark.
University of Copenhagen · DKNational Institute for Medical Research · TZLund University · SEAarhus University Hospital · DKRigshospitalet · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gestational diabetes mellitus (GDM) is associated with poor pregnancy outcomes and increased long-term risk of metabolic diseases for both mother and child. In Tanzania, GDM prevalence increased from 0% in 1991 to 19.5% in 2016. Anaemia has been proposed to precipitate the pathogenesis of GDM. We aimed to examine the prevalence of GDM in a rural area of Tanzania with a high prevalence of anaemia and to examine a potential association between haemoglobin concentration and blood glucose during pregnancy. The participants were included in a population-based preconception, pregnancy and birth cohort study. In total, 538 women were followed during pregnancy and scheduled for an oral glucose tolerance test (OGTT) at week 32-34 of gestation. Gestational diabetes mellitus was diagnosed according to the WHO 2013 guidelines. Out of 392 women screened, 39% (95% CI: 34.2-44.1) had GDM, the majority of whom (94.1%) were diagnosed based solely on the fasting blood sample from the OGTT. No associations were observed between haemoglobin or ferritin and glucose measurements during pregnancy. A very high prevalence of GDM was found in rural Tanzania. In view of the laborious, costly and inconvenient OGTT, alternative methods such as fasting blood glucose should be considered when screening for GDM in low- and middle-income countries.

Indexed as

Diabetes, GestationalAdultBlood GlucoseCohort StudiesFemaleGlucose Tolerance TestHumansPregnancyPrevalenceRural PopulationTanzaniaYoung AdultBlood Glucosegestational diabeteshaemoglobin concentrationprevalenceTanzania

Identifiers

PMID32365670
PMCPMC7246425
OpenAlexW3021577319

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.