Implementing a reminder system in the northern part of Belgium to stimulate postpartum screening for glucose intolerance in women with gestational diabetes : the Sweet Pregnancy project
| Autor: | S. Verstraete, Ann Verhaegen, F. Muylle, Katrien Benhalima, Paul Van Crombrugge, Roland Devlieger, Johan Wens, Katelijn Decochez, Chantal Mathieu |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Screening test Article Subject Impaired fasting glycaemia Endocrinology Diabetes and Metabolism education 030209 endocrinology & metabolism Primary care lcsh:Diseases of the endocrine glands. Clinical endocrinology 03 medical and health sciences 0302 clinical medicine Endocrinology Diabetes mellitus medicine 030212 general & internal medicine Prediabetes Gynecology Pregnancy Plasma glucose lcsh:RC648-665 Endocrine and Autonomic Systems business.industry Obstetrics medicine.disease Gestational diabetes Human medicine business Research Article |
| Zdroj: | International Journal of Endocrinology International Journal of Endocrinology, Vol 2017 (2017) |
| ISSN: | 1687-8337 |
| Popis: | Aims. To evaluate the feasibility and efficacy of a gestational diabetes (GDM) recall register on the long-term screening uptake postpartum and to evaluate the prevalence of prediabetes postpartum. Methods. Evaluation of a GDM recall register implemented in 66 obstetrical centers in the northern part of Belgium from 2009 to 2016. Registrants receive yearly reminders to have a fasting plasma glucose test in primary care to timely detect prediabetes. Results. After 6 years, 7269 women were registered. The yearly response rates varied from 74.4% after the first year to 61.8% after the fifth year. The number of women who reported a screening test varied from 67.4% after the first year to 71.9% after the fifth year. Compared to women who responded at least once to a reminder, women who never responded were more often p<0.001) and were more often obese (29.3% versus 20.8%, p≤0.001). Over a period of 6 years, 7.3% (CI 6.0%–8.8%) developed diabetes and 27.4% (CI 23.9%–31.0%) developed impaired fasting glycaemia. Conclusion. We show now the long-term feasibility and efficacy of a GDM recall register to stimulate screening postpartum. One-third of women developed prediabetes within 6 years. |
| Databáze: | OpenAIRE |
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