Prevalence and Timing of Postpartum Glucose Testing and Sustained Glucose Dysregulation After Gestational Diabetes Mellitus

• DOI: 10.2337/dc09-2095
• Publication Date: 2009-12-30T01:44:26Z
• Authors: Jean M. Lawrence; Mary Helen Black; Jin-Wen Hsu; Wansu Chen; David A. Sacks
• Keywords: Glucose tolerance test; Impaired fasting glucose

OBJECTIVE To estimate the prevalence of postpartum glucose testing within 6 months pregnancies complicated by gestational diabetes mellitus (GDM), assess factors associated with and timing after delivery, report test results among tested women. RESEARCH DESIGN AND METHODS This was a retrospective study 11,825 women who were identified as having GDM using 100-g oral tolerance (OGTT) from 1999 to 2006. Postpartum (75-g 2-h OGTT or fasting plasma [FPG]) delivery laboratory databases are reported. categorized normal, impaired (IFG) and/or (IGT), provisionally diabetic. RESULTS About half (n = 5,939) either FPG 75-g 7 days postpartum. Of these women, 46% during 6- 12-week period. Odds independently age, race/ethnicity, household income, education, foreign-born status, parity, mode visit, coded at discharge, pharmacotherapy for GDM. 5,857 results, 16.3% 956) had IFG/IGT 1.1% 66) provisional diabetes. After adjustment demographic clinical factors, abnormal required insulin, glyburide, metformin pregnancy longer period testing. CONCLUSIONS GDM, automated orders notification physicians electronically generated telephone e-mail reminder messages patients may improve rates persistence intolerance.