Postpartum screening following gdm: How well are we doing?

Kelly J. Hunt, Sarah L. Logan, Deborah L. Conway, Jeffrey E. Korte

Research output: Contribution to journalReview articlepeer-review

46 Scopus citations

Abstract

Once diagnosed with gestational diabetes mellitus (GDM), a woman has a sevenfold increased risk of developing type 2 diabetes relative to women who do not have diabetes during pregnancy. In addition, up to one third of women with GDM have overt diabetes, impaired fasting glucose, or impaired glucose tolerance identified during postpartumglucose screening completedwithin 6 to 12 weeks. Therefore, the American Diabetes Association, the World Health Organization, and the American College of Obstetricians and Gynecologists currently recommend postpartum glucose screening following GDM. However, despite this recommendation, in many settings the majority of women with GDM fail to return for postpartum glucose testing. Studies conducted to date have not comprehensively examined the health care system, the physician, or the patient determinants of successful screening. These studies are required to help develop standard clinical procedures that enable and encourage all women to return for postpartum glucose screening following GDM.

Original languageEnglish (US)
Pages (from-to)235-241
Number of pages7
JournalCurrent Diabetes Reports
Volume10
Issue number3
DOIs
StatePublished - Jun 2010

Keywords

  • Gestational diabetes mellitus
  • Postpartum glucose screening

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism

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