2016
DOI: 10.1111/dme.13102
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Conversion of gestational diabetes mellitus to future Type 2 diabetes mellitus and the predictive value of HbA1c in an Indian cohort

Abstract: The high post-pregnancy conversion rates of gestational diabetes to diabetes reported in the present study reinforce the need for mandatory postpartum screening and identification of strategies for preventing progression to Type 2 diabetes. Use of the American Diabetes Association-recommended HbA threshold for diabetes may lead to significant under-diagnosis.

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Cited by 35 publications
(48 citation statements)
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“…[9][10][11][12][13] Women with pre-eclampsia have an almost four-fold risk of developing chronic hypertension post-pregnancy, and approximately a two-fold increased risk of ischaemic heart disease and stroke. [14][15][16] Two-thirds of the Indian population live in rural areas. [14][15][16] Two-thirds of the Indian population live in rural areas.…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…[9][10][11][12][13] Women with pre-eclampsia have an almost four-fold risk of developing chronic hypertension post-pregnancy, and approximately a two-fold increased risk of ischaemic heart disease and stroke. [14][15][16] Two-thirds of the Indian population live in rural areas. [14][15][16] Two-thirds of the Indian population live in rural areas.…”
Section: Introductionmentioning
confidence: 99%
“…9 Indian women are at increased risk of developing GDM; they are more likely to develop Type 2 diabetes (T2DM) at an earlier age and at a lower body mass index; and have a higher risk of coronary artery disease compared with Caucasians. [14][15][16] Two-thirds of the Indian population live in rural areas. 17 Women in rural settings are particularly vulnerable to complications due to limited awareness of the risk factors for cardiometabolic disorders, and limited healthcare access and quality.…”
Section: Introductionmentioning
confidence: 99%
“…Cultural practices after birth, workforce shortages, particularly in rural areas, and a lack of health system infrastructure are additional barriers to providing lifelong care. Many women with hypertension and T2DM remain undiagnosed, although population-based screening for GDM shows high rates of conversion from GDM to T2DM in both urban and rural areas of LMICs (87). Further education and training of women and healthcare staff are needed to encourage postpartum follow-up and repeat testing of women at high risk of CMDs (84).…”
Section: The Need For Life-course Based Approaches To Women's Healthmentioning
confidence: 99%
“…[12] Here, too, the concept of quaternary preventions needs to be invoked to protect patient well-being and outcomes.…”
Section: Pragmatic Approach For Quarternary Preventionmentioning
confidence: 99%