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In Brief Women with a history of gestational diabetes mellitus (GDM) and their offspring have a lifelong risk of developing type 2 diabetes. Appropriate diagnosis and documentation are needed to ensure that these women receive interventions to reduce that risk. This article describes efforts of the multistate GDM Collaborative program to better understand GDM prevalence data, identify gaps in data quality and documented care, and develop interventions to improve access and postpartum follow-up care. It highlights the documentation and intervention efforts of two GDM Collaborative states and emphasizes the need for other states to replicate these efforts.

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