Gestational diabetes and risk of developing postpartum Type 2 diabetes: How to improve follow-up?

Background: Gestational diabetes mellitus (GDM) is defined by World Health Organization as glucose intolerance diagnosed for the first time during pregnancy; GDM affects 7% of pregnancies. Women with earlier GDM have higher risk to develop type 2 diabetes (T2D). The aim of our study was to evaluate...

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Bibliographic Details
Published in:International journal of preventive medicine 2019-01, Vol.10 (1), p.51-51
Main Authors: El Ouahabi, Hanan, Doubi, Sana, Boujraf, Saïd, Ajdi, Farida
Format: Article
Language:English
Subjects:
Age
Amenorrhea
Birth control
Blood pressure
Compliance
Diabetes
diabetes mellitus
Diabetes mellitus (non-insulin dependent)
Education
Efficiency
Fasting
follow-up
Gestational age
gestational diabetes
Glucose
Glucose tolerance
Health risks
Hyperglycemia
Insulin
Intolerance
Lifestyles
Metabolic syndrome
Obesity
Original
Postpartum
Pregnancy
Prevention
Risk assessment
Risk factors
Womens health
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Summary:Background: Gestational diabetes mellitus (GDM) is defined by World Health Organization as glucose intolerance diagnosed for the first time during pregnancy; GDM affects 7% of pregnancies. Women with earlier GDM have higher risk to develop type 2 diabetes (T2D). The aim of our study was to evaluate the outcomes of GDM and to assess the impact of recalling patients in the postpartum stage by phone, the target was to assess T2D or impaired glucose tolerance in women with a history of GDM. Methods: This prospective study included 200 patients with GDM that have received education sessions regarding the major interest of screen T2D using 75 g of oral glucose tolerance testing in the 3rd month after birth. Results: Only 22.5% (n = 45) women spontaneously complied to assess T2D. About 15% have had developed T2D and 28% prediabetes. Risk factors of T2D onset were younger gestational age at the occurrence GD, higher fasting blood glucose, and frequent use of insulin. Conclusions: Women with GD history demonstrated high risk of developing T2D. Simple changes of lifestyle were shown to be an efficient prevention protocol. Despite therapeutical education, few women spontaneously complied with T2D screening. The telephone reminders could improve the screening observance therefore patient's outcome.
ISSN:2008-7802
2008-8213
DOI:10.4103/ijpvm.IJPVM_3_17