“…Gestational diabetes mellitus (GDM), a form of glucose intolerance diagnosed during pregnancy, affects more than 200,000 women each year in the United States or about 7% of all pregnant women (American Diabetes Association [ADA], ). Gestational diabetes mellitus is considered a unique metabolic syndrome risk factor in women (Bentley‐Lewis, Koruda, & Seely, ; Bo et al, ; Retnakaran et al, ; Vohr & Boney, ), indicating increased risk for type 2 diabetes and CVD (Alberti et al, ) and the need for early risk factor surveillance in this population. In general, women with previous GDM have a 20% to 50% chance of developing type 2 diabetes in the next 5 to 10 years (ADA), whereas cumulative incidence has been reported as high as 70% among American Indian women with previous GDM (Kim, Newton, & Knopp, ).…”