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Progression From Gestational Diabetes Mellitus to Type 2 Diabetes Mellitus Among First Nations Women in Northwest Ontario: A Retrospective Cohort Study
Our aim in this study was to identify the incidence of type 2 diabetes mellitus among First Nations women in northwest Ontario with a history of gestational diabetes mellitus (GDM). This work was a retrospective cohort study of women diagnosed with GDM using a 50-gram oral glucose challenge test or...
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| Published in: | Canadian journal of diabetes 2023-10, Vol.47 (7), p.566-570 |
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| container_end_page | 570 |
| container_issue | 7 |
| container_start_page | 566 |
| container_title | Canadian journal of diabetes |
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| creator | Hummelen, Ruben Sodhi, Sumeet Poirier, Jenna Gordon, Janet Asokan, Shanthive Matsumoto, Cai-lei Kelly, Len |
| description | Our aim in this study was to identify the incidence of type 2 diabetes mellitus among First Nations women in northwest Ontario with a history of gestational diabetes mellitus (GDM).
This work was a retrospective cohort study of women diagnosed with GDM using a 50-gram oral glucose challenge test or a 75-gram oral glucose tolerance test from January 1, 2010, to December 31, 2017, at the Sioux Lookout Meno Ya Win Health Centre. Outcomes were assessed based on glycated hemoglobin (A1C) measurements performed between January 1, 2010, and December 31, 2019.
The cumulative incidence of T2DM among women with a history of GDM was 18% (42 of 237) at 2 years and 39% (76 of 194) at 6 years. Women with GDM who developed T2DM were of similar age and parity and had equivalent C-section rates (26%) compared to those who did not develop T2DM. They had higher birth weights (3,866 grams vs 3,600 grams, p=0.006) and rates of treatment with insulin (24% vs 5%, p |
| doi_str_mv | 10.1016/j.jcjd.2023.05.003 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2815250004</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1499267123001247</els_id><sourcerecordid>2815250004</sourcerecordid><originalsourceid>FETCH-LOGICAL-c307t-35bc0fb37307875064feb382cd30fd03858b07c1d9e59eaac97a3b62903455973</originalsourceid><addsrcrecordid>eNp9kc9u1DAQhy0EotvCC3BAPnJJGNtx_iAuq4UtlUqLoIij5TiT1tEmXmynaJ-kr1tvt3CqOI1G_s2nGX-EvGGQM2Dl-yEfzNDlHLjIQeYA4hlZcCF5JuoCnpMFK5om42XFjshxCAOAhIo1L8mRSKVsarYgd9-8u_YYgnUTXXs30lMMUcfU6g39ZHWLEQP9ipuNjXOg0dGr3RYpf-JtObrpmq6tD5FePCAC_eVGnKid6IXz8eZPYtPLKWpv3Qe6pN8xehe2aKK9RbpyNylEf8S5270iL3q9Cfj6sZ6Qn-vPV6sv2fnl6dlqeZ4ZAVXMhGwN9K2oUldXEsqix1bU3HQC-g5ELesWKsO6BmWDWpum0qIteQOikLKpxAl5d-Buvfs9p_XUaINJF-kJ3RwUr5nkEgCKFOWHqEk7B4-92no7ar9TDNReiBrUXojaC1EgVRKSht4-8ud2xO7fyF8DKfDxEMB05a1Fr4KxOBnsrE__ojpn_8e_B-IHndA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2815250004</pqid></control><display><type>article</type><title>Progression From Gestational Diabetes Mellitus to Type 2 Diabetes Mellitus Among First Nations Women in Northwest Ontario: A Retrospective Cohort Study</title><source>ScienceDirect Freedom Collection</source><creator>Hummelen, Ruben ; Sodhi, Sumeet ; Poirier, Jenna ; Gordon, Janet ; Asokan, Shanthive ; Matsumoto, Cai-lei ; Kelly, Len</creator><creatorcontrib>Hummelen, Ruben ; Sodhi, Sumeet ; Poirier, Jenna ; Gordon, Janet ; Asokan, Shanthive ; Matsumoto, Cai-lei ; Kelly, Len</creatorcontrib><description>Our aim in this study was to identify the incidence of type 2 diabetes mellitus among First Nations women in northwest Ontario with a history of gestational diabetes mellitus (GDM).
This work was a retrospective cohort study of women diagnosed with GDM using a 50-gram oral glucose challenge test or a 75-gram oral glucose tolerance test from January 1, 2010, to December 31, 2017, at the Sioux Lookout Meno Ya Win Health Centre. Outcomes were assessed based on glycated hemoglobin (A1C) measurements performed between January 1, 2010, and December 31, 2019.
The cumulative incidence of T2DM among women with a history of GDM was 18% (42 of 237) at 2 years and 39% (76 of 194) at 6 years. Women with GDM who developed T2DM were of similar age and parity and had equivalent C-section rates (26%) compared to those who did not develop T2DM. They had higher birth weights (3,866 grams vs 3,600 grams, p=0.006) and rates of treatment with insulin (24% vs 5%, p<0.001) and metformin (16% vs 5%, p=0.005).
GDM confers a significant risk for the development of T2DM in First Nations women. Broad community-based resources, food security, and social programming are required.
Nous avions pour objectif de décrire l’incidence du diabète sucré de type 2 chez les femmes des Premières Nations du Nord-Ouest de l’Ontario qui avaient des antécédents de diabète sucré gestationnel (DSG).
Une étude de cohorte rétrospective auprès de femmes qui avaient reçu un diagnostic de DSG à la suite d’un test de provocation au glucose (50 g) ou d’une épreuve d’hyperglycémie provoquée (75 g de glucose) du 1er janvier 2010 au 31 décembre 2017, au Sioux Lookout Meno Ya Win Health Centre. Nous avons évalué les issues à partir des mesures de l’A1c réalisées du 1er janvier 2010 au 31 décembre 2019.
L'incidence cumulée du DT2 chez les femmes ayant des antécédents de DG à 2 ans était de 18 % (42/237) et de 39 % (76/194) à 6 ans. Les femmes atteintes de DG qui ont développé un DT2 étaient d'âge et de parité similaires et avaient des taux de césarienne équivalents (26 %) par rapport à celles qui n'ont pas développé de DT2. Ils avaient des poids de naissance plus élevés (3 866 grammes contre 3 600 grammes, p = 0,006) et des taux de traitement à l'insuline (24 % contre 5 %, p < 0,001) et à la metformine (16 % contre 5 %, p = 0,005).
Le diabète gestationnel constitue un risque significatif de survenue du DST2 chez les femmes des Premières Nations. D’importantes ressources communautaires, une sécurité alimentaire et des programmes sociaux sont nécessaires.</description><identifier>ISSN: 1499-2671</identifier><identifier>EISSN: 2352-3840</identifier><identifier>DOI: 10.1016/j.jcjd.2023.05.003</identifier><identifier>PMID: 37196981</identifier><language>eng</language><publisher>Canada: Elsevier Inc</publisher><subject>diabetes ; Diabète ; First Nations ; gestational ; Gestationnel ; Grossesse ; pregnancy ; Premières nations ; T2DM</subject><ispartof>Canadian journal of diabetes, 2023-10, Vol.47 (7), p.566-570</ispartof><rights>2023 Canadian Diabetes Association</rights><rights>Copyright © 2023 Canadian Diabetes Association. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c307t-35bc0fb37307875064feb382cd30fd03858b07c1d9e59eaac97a3b62903455973</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37196981$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hummelen, Ruben</creatorcontrib><creatorcontrib>Sodhi, Sumeet</creatorcontrib><creatorcontrib>Poirier, Jenna</creatorcontrib><creatorcontrib>Gordon, Janet</creatorcontrib><creatorcontrib>Asokan, Shanthive</creatorcontrib><creatorcontrib>Matsumoto, Cai-lei</creatorcontrib><creatorcontrib>Kelly, Len</creatorcontrib><title>Progression From Gestational Diabetes Mellitus to Type 2 Diabetes Mellitus Among First Nations Women in Northwest Ontario: A Retrospective Cohort Study</title><title>Canadian journal of diabetes</title><addtitle>Can J Diabetes</addtitle><description>Our aim in this study was to identify the incidence of type 2 diabetes mellitus among First Nations women in northwest Ontario with a history of gestational diabetes mellitus (GDM).
This work was a retrospective cohort study of women diagnosed with GDM using a 50-gram oral glucose challenge test or a 75-gram oral glucose tolerance test from January 1, 2010, to December 31, 2017, at the Sioux Lookout Meno Ya Win Health Centre. Outcomes were assessed based on glycated hemoglobin (A1C) measurements performed between January 1, 2010, and December 31, 2019.
The cumulative incidence of T2DM among women with a history of GDM was 18% (42 of 237) at 2 years and 39% (76 of 194) at 6 years. Women with GDM who developed T2DM were of similar age and parity and had equivalent C-section rates (26%) compared to those who did not develop T2DM. They had higher birth weights (3,866 grams vs 3,600 grams, p=0.006) and rates of treatment with insulin (24% vs 5%, p<0.001) and metformin (16% vs 5%, p=0.005).
GDM confers a significant risk for the development of T2DM in First Nations women. Broad community-based resources, food security, and social programming are required.
Nous avions pour objectif de décrire l’incidence du diabète sucré de type 2 chez les femmes des Premières Nations du Nord-Ouest de l’Ontario qui avaient des antécédents de diabète sucré gestationnel (DSG).
Une étude de cohorte rétrospective auprès de femmes qui avaient reçu un diagnostic de DSG à la suite d’un test de provocation au glucose (50 g) ou d’une épreuve d’hyperglycémie provoquée (75 g de glucose) du 1er janvier 2010 au 31 décembre 2017, au Sioux Lookout Meno Ya Win Health Centre. Nous avons évalué les issues à partir des mesures de l’A1c réalisées du 1er janvier 2010 au 31 décembre 2019.
L'incidence cumulée du DT2 chez les femmes ayant des antécédents de DG à 2 ans était de 18 % (42/237) et de 39 % (76/194) à 6 ans. Les femmes atteintes de DG qui ont développé un DT2 étaient d'âge et de parité similaires et avaient des taux de césarienne équivalents (26 %) par rapport à celles qui n'ont pas développé de DT2. Ils avaient des poids de naissance plus élevés (3 866 grammes contre 3 600 grammes, p = 0,006) et des taux de traitement à l'insuline (24 % contre 5 %, p < 0,001) et à la metformine (16 % contre 5 %, p = 0,005).
Le diabète gestationnel constitue un risque significatif de survenue du DST2 chez les femmes des Premières Nations. D’importantes ressources communautaires, une sécurité alimentaire et des programmes sociaux sont nécessaires.</description><subject>diabetes</subject><subject>Diabète</subject><subject>First Nations</subject><subject>gestational</subject><subject>Gestationnel</subject><subject>Grossesse</subject><subject>pregnancy</subject><subject>Premières nations</subject><subject>T2DM</subject><issn>1499-2671</issn><issn>2352-3840</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kc9u1DAQhy0EotvCC3BAPnJJGNtx_iAuq4UtlUqLoIij5TiT1tEmXmynaJ-kr1tvt3CqOI1G_s2nGX-EvGGQM2Dl-yEfzNDlHLjIQeYA4hlZcCF5JuoCnpMFK5om42XFjshxCAOAhIo1L8mRSKVsarYgd9-8u_YYgnUTXXs30lMMUcfU6g39ZHWLEQP9ipuNjXOg0dGr3RYpf-JtObrpmq6tD5FePCAC_eVGnKid6IXz8eZPYtPLKWpv3Qe6pN8xehe2aKK9RbpyNylEf8S5270iL3q9Cfj6sZ6Qn-vPV6sv2fnl6dlqeZ4ZAVXMhGwN9K2oUldXEsqix1bU3HQC-g5ELesWKsO6BmWDWpum0qIteQOikLKpxAl5d-Buvfs9p_XUaINJF-kJ3RwUr5nkEgCKFOWHqEk7B4-92no7ar9TDNReiBrUXojaC1EgVRKSht4-8ud2xO7fyF8DKfDxEMB05a1Fr4KxOBnsrE__ojpn_8e_B-IHndA</recordid><startdate>20231001</startdate><enddate>20231001</enddate><creator>Hummelen, Ruben</creator><creator>Sodhi, Sumeet</creator><creator>Poirier, Jenna</creator><creator>Gordon, Janet</creator><creator>Asokan, Shanthive</creator><creator>Matsumoto, Cai-lei</creator><creator>Kelly, Len</creator><general>Elsevier Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20231001</creationdate><title>Progression From Gestational Diabetes Mellitus to Type 2 Diabetes Mellitus Among First Nations Women in Northwest Ontario: A Retrospective Cohort Study</title><author>Hummelen, Ruben ; Sodhi, Sumeet ; Poirier, Jenna ; Gordon, Janet ; Asokan, Shanthive ; Matsumoto, Cai-lei ; Kelly, Len</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c307t-35bc0fb37307875064feb382cd30fd03858b07c1d9e59eaac97a3b62903455973</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>diabetes</topic><topic>Diabète</topic><topic>First Nations</topic><topic>gestational</topic><topic>Gestationnel</topic><topic>Grossesse</topic><topic>pregnancy</topic><topic>Premières nations</topic><topic>T2DM</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hummelen, Ruben</creatorcontrib><creatorcontrib>Sodhi, Sumeet</creatorcontrib><creatorcontrib>Poirier, Jenna</creatorcontrib><creatorcontrib>Gordon, Janet</creatorcontrib><creatorcontrib>Asokan, Shanthive</creatorcontrib><creatorcontrib>Matsumoto, Cai-lei</creatorcontrib><creatorcontrib>Kelly, Len</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Canadian journal of diabetes</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hummelen, Ruben</au><au>Sodhi, Sumeet</au><au>Poirier, Jenna</au><au>Gordon, Janet</au><au>Asokan, Shanthive</au><au>Matsumoto, Cai-lei</au><au>Kelly, Len</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Progression From Gestational Diabetes Mellitus to Type 2 Diabetes Mellitus Among First Nations Women in Northwest Ontario: A Retrospective Cohort Study</atitle><jtitle>Canadian journal of diabetes</jtitle><addtitle>Can J Diabetes</addtitle><date>2023-10-01</date><risdate>2023</risdate><volume>47</volume><issue>7</issue><spage>566</spage><epage>570</epage><pages>566-570</pages><issn>1499-2671</issn><eissn>2352-3840</eissn><abstract>Our aim in this study was to identify the incidence of type 2 diabetes mellitus among First Nations women in northwest Ontario with a history of gestational diabetes mellitus (GDM).
This work was a retrospective cohort study of women diagnosed with GDM using a 50-gram oral glucose challenge test or a 75-gram oral glucose tolerance test from January 1, 2010, to December 31, 2017, at the Sioux Lookout Meno Ya Win Health Centre. Outcomes were assessed based on glycated hemoglobin (A1C) measurements performed between January 1, 2010, and December 31, 2019.
The cumulative incidence of T2DM among women with a history of GDM was 18% (42 of 237) at 2 years and 39% (76 of 194) at 6 years. Women with GDM who developed T2DM were of similar age and parity and had equivalent C-section rates (26%) compared to those who did not develop T2DM. They had higher birth weights (3,866 grams vs 3,600 grams, p=0.006) and rates of treatment with insulin (24% vs 5%, p<0.001) and metformin (16% vs 5%, p=0.005).
GDM confers a significant risk for the development of T2DM in First Nations women. Broad community-based resources, food security, and social programming are required.
Nous avions pour objectif de décrire l’incidence du diabète sucré de type 2 chez les femmes des Premières Nations du Nord-Ouest de l’Ontario qui avaient des antécédents de diabète sucré gestationnel (DSG).
Une étude de cohorte rétrospective auprès de femmes qui avaient reçu un diagnostic de DSG à la suite d’un test de provocation au glucose (50 g) ou d’une épreuve d’hyperglycémie provoquée (75 g de glucose) du 1er janvier 2010 au 31 décembre 2017, au Sioux Lookout Meno Ya Win Health Centre. Nous avons évalué les issues à partir des mesures de l’A1c réalisées du 1er janvier 2010 au 31 décembre 2019.
L'incidence cumulée du DT2 chez les femmes ayant des antécédents de DG à 2 ans était de 18 % (42/237) et de 39 % (76/194) à 6 ans. Les femmes atteintes de DG qui ont développé un DT2 étaient d'âge et de parité similaires et avaient des taux de césarienne équivalents (26 %) par rapport à celles qui n'ont pas développé de DT2. Ils avaient des poids de naissance plus élevés (3 866 grammes contre 3 600 grammes, p = 0,006) et des taux de traitement à l'insuline (24 % contre 5 %, p < 0,001) et à la metformine (16 % contre 5 %, p = 0,005).
Le diabète gestationnel constitue un risque significatif de survenue du DST2 chez les femmes des Premières Nations. D’importantes ressources communautaires, une sécurité alimentaire et des programmes sociaux sont nécessaires.</abstract><cop>Canada</cop><pub>Elsevier Inc</pub><pmid>37196981</pmid><doi>10.1016/j.jcjd.2023.05.003</doi><tpages>5</tpages></addata></record> |
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| ispartof | Canadian journal of diabetes, 2023-10, Vol.47 (7), p.566-570 |
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| language | eng |
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| source | ScienceDirect Freedom Collection |
| subjects | diabetes Diabète First Nations gestational Gestationnel Grossesse pregnancy Premières nations T2DM |
| title | Progression From Gestational Diabetes Mellitus to Type 2 Diabetes Mellitus Among First Nations Women in Northwest Ontario: A Retrospective Cohort Study |
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