Postpartum Screening for Type 2 Diabetes Mellitus Among Women With Gestational Diabetes Mellitus at King Abdulaziz University Hospital: A Cross-Sectional Study

BackgroundDiabetes is characterized by elevated blood glucose levels due to inadequate insulin production or abnormalities in cellular activity. Gestational diabetes mellitus (GDM) is one of the most prominent indicators of type 2 diabetes mellitus (T2DM), which develops in pregnant women whose panc...

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Published in:Curēus (Palo Alto, CA) CA), 2023-08, Vol.15 (8), p.e44273-e44273
Main Authors: Arab, Suha, Binmahfooz, Saleh, Abualsaud, Renad M, Basuliman, Alaa A, Qurain, Roba, AlSaidlani, Rawan H, Alsharif, Shaker, Alsaiari, Maha, Awami, Hadeel
Format: Article
Language:English
Subjects:
Birth weight
Cardiovascular disease
Cesarean section
Chromium
Cross-sectional studies
Endocrinology/Diabetes/Metabolism
Ethics
Family income
Family medical history
Gestational age
Gestational diabetes
Glucose
Hemoglobin
Hospitals
Hypothyroidism
Insulin
Internal Medicine
Lifestyles
Metabolism
Obstetrics/Gynecology
Pregnancy
Questionnaires
Sociodemographics
Womens health
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Summary:BackgroundDiabetes is characterized by elevated blood glucose levels due to inadequate insulin production or abnormalities in cellular activity. Gestational diabetes mellitus (GDM) is one of the most prominent indicators of type 2 diabetes mellitus (T2DM), which develops in pregnant women whose pancreatic function is insufficient to control the insulin resistance associated with pregnancy. Moreover, it is the most common metabolic disorder, with the majority of cases beginning in the second or third trimester of pregnancy and affecting up to 25% of pregnant women.ObjectivesThe objective of this study was to identify factors associated with postpartum T2DM screening in women with GDM at King Abdulaziz University Hospital (KAUH) between 2010 and 2022. The secondary objective was to assess the factors associated with providing information to the patients about the risks of increased blood glucose and postpartum lifestyle modification.MethodsWe conducted a retrospective cross-sectional study at KAUH to investigate potential factors associated with postpartum screening for T2DM. Out of 564 patients diagnosed with GDM between 2020 and 2022, we included 200 women aged over 18 years with a history of GDM, as they met the inclusion criteria for our study. Patients younger than 18 years with missing or incomplete baseline characteristics were excluded. Data were analyzed using SPSS Statistics version 21 (IBM Corp. Released 2012. IBM SPSS Statistics for Windows, Version 21.0. Armonk, NY: IBM Corp.), and p-value
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.44273