Postpartum glucose screening among women with gestational diabetes

Paul, June C.; Fitzpatrick, Joyce J.

doi:10.1016/j.apnr.2020.151341

Cited by 9 publications

(4 citation statements)

References 17 publications

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“…Our study’s strength is the large number of cases and the fact that they were treated following the same protocol by the same team throughout the study. We also acknowledge that this study has limitations, such as the relatively small percentage of patients that returned for postpartum testing (around 53%), but this rate is comparable to rates previously described [ 26 , 27 , 28 ]. Additionally, all our patients are treated for GDM after an early FPG equal to or higher than 92 mg/dL.…”

Section: Discussionsupporting

confidence: 66%

Early vs. Late Gestational Diabetes: Comparison between Two Groups Diagnosed by Abnormal Initial Fasting Plasma Glucose or Mid-Pregnancy Oral Glucose Tolerance Test

Zaccara

Paganoti

Mikami

et al. 2022

IJERPH

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Gestational diabetes mellitus (GDM) is one of the most common complications in pregnancy. It may be diagnosed using a fasting plasma glucose (FPG) early in pregnancy (eGDM) or a 75-g oral glucose tolerance test (OGTT) (late GDM). This retrospective cohort of women with GDM presents data from 1891 patients (1004 in the eGDM and 887 in the late GDM group). Student’s t-test, chi-squared or Fisher’s exact test and the Bonferroni test for post hoc analysis were used to compare the groups. Women with eGDM had higher pre-pregnancy BMI, more frequent family history of DM, more frequent history of previous GDM, and were more likely to have chronic hypertension. They were more likely to deliver by cesarean section and to present an abnormal puerperal OGTT. Even though they received earlier treatment and required insulin more frequently, there was no difference in neonatal outcomes. Diagnosing and treating GDM is necessary to reduce complications and adverse outcomes, but it is still a challenge. We believe that women with eGDM should be treated and closely monitored, even though this may increase healthcare-related costs.

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Section: Discussionsupporting

confidence: 66%

Early vs. Late Gestational Diabetes: Comparison between Two Groups Diagnosed by Abnormal Initial Fasting Plasma Glucose or Mid-Pregnancy Oral Glucose Tolerance Test

Zaccara

Paganoti

Mikami

et al. 2022

IJERPH

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show abstract

“…This index is similar to that found by Ortiz et al, 15 who found a rate of 19%. The prevalence of DM screening in patients with a history of GDM is quite variable in the literature, ranging from 13.8% to 41%, but what all the studies 13,14,[16][17][18][19] show, including the current study, is that even though screening is indicated for all postpartum women with a history of GDM, its performance is still low. Screening is important, as it enables the establishment of the risks of developing DM, so physicians can prescribe behavioral or even pharmacological changes to prevent or delay the its diagnosis in this population and avoid the impacts of this comorbidity in the long term.…”

Section: Discussionmentioning

confidence: 59%

Prevalence of Screening for Diabetes Mellitus in Patients Previously Diagnosed with Gestational Diabetes: Factors Related to its Performance

Kindermann

Costa

Trapani

2022

Rev Bras Ginecol Obstet

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Objective To determine how many patients underwent screening for diabetes mellitus (DM) in the puerperium after a diagnosis of gestational DM (GDM) and which factors were related to its performance. Methods The present is a prospective cohort study with 175 women with a diagnosis of GDM. Sociodemographic and clinico-obstetric data were collected through a questionnaire and a screening test for DM was requested six weeks postpartum. After ten weeks, the researchers contacted the patients by telephone with questions about the performance of the screening. The categorical variables were expressed as absolute and relative frequencies. The measure of association was the relative risk with a 95% confidence interval (95%CI), and values of p ≤ 0.05 were considered statistically significant and tested through logistic regression. Results The survey was completed by 159 patients, 32 (20.1%) of whom underwent puerperal screening. The mean age of the sample was of 30.7 years, and most patients were white (57.9%), married (56.6%), and had had 8 or more years of schooling (72.3%). About 22.6% of the patients used medications to treat GDM, 30.8% had other comorbidities, and 76.7% attended the postnatal appointment. Attendance at the postpartum appointment, the use of medication, and the presence of comorbidities showed an association with the performance of the oral glucose tolerance test in the puerperium. Conclusion The prevalence of screening for DM six weeks postpartum is low in women previously diagnosed with GDM. Patients who attended the postpartum consultation, used medications to treat GDM, and had comorbidities were the most adherent to the puerperal screening. We need strategies to increase the rate of performance of this exam.

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“…O diagnóstico precoce do DMG, contribui com o aumento do monitoramento, podendo ocorrer uma maior intervenção durante a gravidez. Se inicia com a triagem durante o pré-natal, onde todas as gestantes devem ser rastreadas para o DMG entre as 24 e 28 semanas de gestação (Paul; Fitzpatrick, 2020).…”

Section: Resultsunclassified

Atuação Da Enfermagem Do Pré-Natal Ao Puerpério Às Mulheres No Controle Do Diabetes Mellitus Gestacional

Ramos,

PEREIRA,

SANTOS

et al. 2024

Anais Do III Congresso Brasileiro De Doenças Crônicas

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Postpartum glucose screening among women with gestational diabetes

Cited by 9 publications

References 17 publications

Early vs. Late Gestational Diabetes: Comparison between Two Groups Diagnosed by Abnormal Initial Fasting Plasma Glucose or Mid-Pregnancy Oral Glucose Tolerance Test

Early vs. Late Gestational Diabetes: Comparison between Two Groups Diagnosed by Abnormal Initial Fasting Plasma Glucose or Mid-Pregnancy Oral Glucose Tolerance Test

Prevalence of Screening for Diabetes Mellitus in Patients Previously Diagnosed with Gestational Diabetes: Factors Related to its Performance

Atuação Da Enfermagem Do Pré-Natal Ao Puerpério Às Mulheres No Controle Do Diabetes Mellitus Gestacional

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