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This Article Figures Only Full Text Full Text (PDF) All Versions of this Article: AJPH.2005.066100v1 95/9/1536    most recent Submit a response View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (22) Citing Articles via Google Scholar Google Scholar Articles by Thorpe, L. E. Articles by Frieden, T. R. Search for Related Content PubMed PubMed Citation Articles by Thorpe, L. E. Articles by Frieden, T. R. Related Collections Diabetes Epidemiology Pregnancy Other Maternal and Infant Health African Americans/Blacks Asians Hispanics/Latinos Other Race/Ethnicity Urban Health

Lorna E. Thorpe, PhD, Diana Berger, MD, Jennifer A. Ellis, PhD, Vani R. Bettegowda, MHS, Gina Brown, MD, Thomas Matte, MD, Mary Bassett, MD and Thomas R. Frieden, MD

The authors are with the New York City Department of Health and Mental Hygiene, New York, NY.

Correspondence: Requests for reprints should be sent to Lorna E. Thorpe, PhD, NYC DOHMH, 125 Worth St, Room 315 (CN6), New York, NY 10013 (e-mail: lthorpe{at}health.nyc.gov).

We analyzed gestational diabetes mellitus trends in New York City between 1990 and 2001 by using information obtained from birth certificates. Gestational diabetes diagnoses among women who delivered babies increased 46%, from 2.6% (95% confidence interval [CI]=2.5, 2.7) to 3.8% (95% CI=3.7, 3.9) of births. Prevalence was highest among South and Central Asian women (11%). Given risks for adverse fetal outcomes and maternal chronic diabetes, prompt screening is critical. Metabolic control should be maintained during pregnancy and assessed postpartum for women with gestational diabetes.

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