High frequency of diabetes in early post-partum assessment of women with gestational diabetes mellitus

Rivas, Aleida; González, N. Del Valle; González, Julio César Rodríguez

doi:10.1016/j.dsx.2007.05.004

Cited by 11 publications

(9 citation statements)

References 32 publications

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“…The percentages of participants in the NGT group, the pre-diabetes group and the DM group were 52.5%, 39.3%, and 8.2%, respectively. However, this is different from the results reported by Jang et al [ 20 ] who reported 23.2% IGT and 15.1% diabetes in an examination 6 weeks after delivery and those of Rivas et al [ 21 ] who reported 18.8% diabetes, 15.38% IGT, and 11.97% IFG in an examination performed two to four months after delivery. However, since pre-diabetes has also abnormal glucose metabolism, a proportion near 50% has abnormal glucose metabolism at postpartum seen in all of these studies.…”

Section: Discussioncontrasting

confidence: 92%

A Comparative Study of Eating Habits and Food Intake in Women with Gestational Diabetes according to Early Postpartum Glucose Tolerance Status

Hwang

Park

et al. 2011

Diabetes Metab J

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BackgroundWomen with gestational diabetes mellitus (GDM) are at high risk for type 2 diabetes mellitus (T2DM) and cardiovascular disease (CVD); continuous life-style intervention, especially diet, is central to managing T2DM and CVD. However, little is known about the dietary patterns of women with GDM after delivery. The goal of this study was to compare the eating habits and food intakes of women diagnosed with GDM during the early postpartum period.MethodsWe performed a 75 g oral glucose tolerance test (OGTT) in 184 women with GDM between 6 and 12 weeks after delivery. Based on the results of the OGTT, the subjects were divided into three groups according to the American Diabetes Association criteria; normal glucose tolerance (NGT) (n=100), pre-diabetes (n=73), and diabetes mellitus (DM) (n=11). Eating habits and usual food intake after delivery were investigated using a questionnaire, based on 24 hour-recall, which was administered by a trained dietitian. The daily intake data were analyzed using CAN Pro 3.0. Blood tests were performed pre- and post-delivery.ResultsEating habits were not significantly different among the three groups. However, animal fat consumption was significantly different among the three groups. The intake ratio of fat calories to total calories was also significantly higher in the pre-diabetes and DM groups.ConclusionAlthough diet in the period 6 to 12 weeks postpartum did not influence glucose level, it may be important to educate women with GDM about the risks of excessive animal fat intake during pregnancy and the postpartum period in order to prevent later onset of T2DM.

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Section: Discussioncontrasting

confidence: 92%

A Comparative Study of Eating Habits and Food Intake in Women with Gestational Diabetes according to Early Postpartum Glucose Tolerance Status

Hwang

Park

et al. 2011

Diabetes Metab J

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“…Metabolic syndrome has been shown to be more prevalent in women with GDM (438)(439)(440) with rates as high as 23%, 3 times agematched control using IADPSG criteria to diagnose GDM (441). Given the increased risk of CVD (OR 1.51) (442) with metabolic syndrome, consideration should be given to screening for all components of the metabolic syndrome in the postpartum care of women with GDM, especially if there is a family history (443,444). Education on healthy behaviour interventions to prevent diabetes and CVD should begin in pregnancy and continue postpartum (445,446).…”

Section: Postpartummentioning

confidence: 99%

Diabetes and Pregnancy

Feig¹,

Berger²,

Donovan³

et al. 2018

Canadian Journal of Diabetes

238

169

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All women with pre-existing type 1 or type 2 diabetes should receive preconception care to optimize glycemic control, assess for complications, review medications and begin folic acid supplementation.• All pregnant women without known pre-existing diabetes should be screened for gestational diabetes between 24 to 28 weeks of pregnancy • If you were diagnosed with gestational diabetes during your pregnancy, it is important to:• Breastfeed immediately after birth and for a minimum of 4 months in order to prevent hypoglycemia in your newborn, obesity in childhood, and diabetes for both you and your childConflict of interest statements can be found on page S274.Can J Diabetes 42 (2018) S255-S282

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“…In total the 13 studies included 4970 women. The main characteristics of the studies and the identified risk factors are schematically shown in Table 1 [18][19][20][21][22][23][24][25][26][27][28][29][30]. Most studies were published before 2010.…”

Section: Risk Factors For Developing Glucose Intolerance In Early Posmentioning

confidence: 98%

Glucose intolerance in early postpartum in women with gestational diabetes: Who is at increased risk?

Leuridan

Wens

Devlieger

et al. 2015

Primary Care Diabetes

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Women with a history of gestational diabetes (GDM) have an increased risk for developing type 2 diabetes in the years after the index pregnancy. Some women with GDM already develop glucose intolerance in early postpartum. The best screening strategy for glucose intolerance in early postpartum among women with a history of GDM is still debated. We review the most important risk factors of women with GDM to develop glucose intolerance within one year postpartum. We also discuss the current recommendations for screening in early postpartum and the many challenges to organize postpartum follow up in primary care.

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High frequency of diabetes in early post-partum assessment of women with gestational diabetes mellitus

Cited by 11 publications

References 32 publications

A Comparative Study of Eating Habits and Food Intake in Women with Gestational Diabetes according to Early Postpartum Glucose Tolerance Status

A Comparative Study of Eating Habits and Food Intake in Women with Gestational Diabetes according to Early Postpartum Glucose Tolerance Status

Diabetes and Pregnancy

Glucose intolerance in early postpartum in women with gestational diabetes: Who is at increased risk?

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