Wiener Medizinische Wochenschrift
Volume 161, Issue 5-6, 2011, Pages 128-135

Clinical characteristics, modalities and complications of diabetic patients with migration background at a Central European University Clinic (Article)

Handisurya A. , Bancher-Todesca D. , Kamyar M.R. , Lemmens-Gruber R. , Kautzky-Willer A.*
  • a Division of Nephrology and Dialysis, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria, Division of Endocrinology and Metabolism, Department of Internal Medicine III, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria
  • b Division of Feto-Maternal Medicine, Department of Gynecology and Obstetrics, Medical University of Vienna, Vienna, Austria
  • c Department of Pharmacology and Toxicology, University of Vienna, Vienna, Austria
  • d Department of Pharmacology and Toxicology, University of Vienna, Vienna, Austria
  • e Division of Endocrinology and Metabolism, Department of Internal Medicine III, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria, Unit of Gender Medicine, Medical University of Vienna, Vienna, Austria

Abstract

The objective of the present study was to assess (i) the effects of immigration on the outcome of 200 consecutive singleton pregnancies in women with overt diabetes as well as (ii) gender-specific differences in cardiovascular risk factor profile and the achievement of therapeutic targets in type 2 diabetic subjects with migration background (n = 50). In pregnant subjects, baseline characteristics at admission, pregnancy outcome and the rate of obstetrical complications were similar in immigrant and non-immigrant women. Type 2 diabetes and also preconceptionally undiagnosed diabetes were significantly more frequent in women with migration background. Following delivery, immigrants presented with a worse metabolic profile, including higher triglyceride and nonHDL levels, than the indigenous population. Furthermore, within diabetic subjects with a migration background, non-pregnant women feature a more adverse cardiovascular risk factor profile than men. However, no gender-specific differences in the total adherence to clinical recommendations according to clinical recommendations have been found. © 2011 Springer-Verlag.

Author Keywords

Immigration Diabetes mellitus Pregnancy Gender

Index Keywords

hospital admission Germany cardiovascular risk blood pressure indigenous people non insulin dependent diabetes mellitus pregnancy complication Cardiovascular Diseases Diabetes Mellitus, Type 2 human immigration sex difference Aged Cross-Sectional Studies Diabetes Mellitus, Type 1 Pregnancy in Diabetics Hospitals, University Humans Hemoglobin A, Glycosylated Infant, Newborn male Emigrants and Immigrants female Risk Factors pregnancy Article pregnancy outcome major clinical study adult patient compliance high density lipoprotein cholesterol triacylglycerol Body Mass Index Diabetes, Gestational
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-79955692975&doi=10.1007%2fs10354-011-0870-1&partnerID=40&md5=4f10d48a96a034fc272fca9aa7cb5b6a
DOI: 10.1007/s10354-011-0870-1
ISSN: 00435341
Cited by: 1
Original Language: English