Gestational Diabetes and Risk of Developing Postpartum Type 2 Diabetes: How to Improve Follow-up?
| Autor: | Hanan El Ouahabi, Farida Ajdi, S. Doubi, Saïd Boujraf |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty endocrine system diseases lcsh:Medicine Type 2 diabetes Impaired glucose tolerance 03 medical and health sciences 0302 clinical medicine Diabetes mellitus medicine follow-up 030212 general & internal medicine Prediabetes Prospective cohort study Pregnancy 030109 nutrition & dietetics business.industry Obstetrics lcsh:R Public Health Environmental and Occupational Health Gestational age nutritional and metabolic diseases medicine.disease Gestational diabetes Original Article gestational diabetes business |
| Zdroj: | International Journal of Preventive Medicine International Journal of Preventive Medicine, Vol 10, Iss 1, Pp 51-51 (2019) |
| ISSN: | 2008-7802 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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