Predictors of postpartum diabetes mellitus in patients with gestational diabetes

Civantos, Soralla; Durán, María Rosa; Flández, B.; Merino, María; Navea, Cristina; Guijarro, Guadalupe; Martell, Nieves; Monereo, Susana

doi:10.1016/j.endien.2019.02.002

Cited by 2 publications

(3 citation statements)

References 22 publications

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“…Despite several studies demonstrating strong evidence that achieving pregestational weight and PP weight loss can help prevent diabetes diagnosis after GDM [ 24-26 ], there was no significant difference observed in the distribution of glycemic status based on weight status (see Table 3 ). This may be due to the short follow-up period or because there was a lot of missing data on weight, reducing the number of women and power, regarding that outcome.…”

Section: Discussionmentioning

confidence: 88%

“…Another disadvantage of the study is the short follow-up time. The study population was reviewed within the first year after childbirth, whereas other studies report PP assessment after 5 to 25 years [ 3 , 24 , 25 ]. It could be argued that the follow-up period of 1 year is not sufficiently long enough to review the glycemic status of women with prior GDM.…”

Section: Discussionmentioning

confidence: 99%

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Clinical and Metabolic Characterization of Women With Gestational Diabetes Mellitus Within the First Year Postpartum

Knudsen,

Knorr,

Prange

et al. 2024

Journal of the Endocrine Society

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Context Women with gestational diabetes mellitus (GDM) have an increased risk of long-term complications, including impaired glucose metabolism, type 2 diabetes (T2DM), cardiovascular disease, and obesity. In current clinical practice, a one-size-fits-all approach to GDM is applied, although heterogeneity among women with GDM has been recognized. Objective To give the most adequate preventive care and post-partum (PP) guidance, we aimed to make a metabolic characterization and identify subgroups of women with previous GDM within the first year PP. Methods In this prospective cohort study, we collected data in gestational week 34-38, at 3 months, and 1 year PP on women with GDM, who participated in a PP follow-up program in Central Region Denmark from April 2019- December 2022. Results In total 1270 women were included in the program in late pregnancy. Of the 768 women participating in either oral glucose tolerance test (OGTT) 3 months PP (n = 545) or 1-year follow-up (n = 493) or both (n = 261), 608 (79.2%) were normoglycemic, 137 (17.8%) had prediabetes, 20 (2.6%) had T2DM, and 3 (0.4%) had developed T1DM. More than 40% of the women gained weight in the first year PP, compared to their pregestational weight. Conclusion Our study shows that 20.8% of women with GDM who volunteered to participate in a clinical follow up programme developed prediabetes or diabetes (T1DM and T2DM) within the first year PP. The GDM diagnosis encompasses a heterogenetic group of women and a deeper characterization may provide an opportunity for a more personalized risk assessment to prevent the progression to T2DM.

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Clinical and Metabolic Characterization of Women With Gestational Diabetes Mellitus Within the First Year Postpartum

Knudsen,

Knorr,

Prange

et al. 2024

Journal of the Endocrine Society

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“…Patologias relacionadas ao metabolismo, como a diabetes colaboram para sobrecarga do organismo materno, assim como danos na parte nutricional e metabólica do feto, causando macrossomia, hipoglicemia no pós-parto, situações que comprometem a evolução natural e fisiológico da gestação. As doenças infecciosas contribuem significativamente para partos prematuros e aumentam a probabilidade de infecção puerperal, que podem levar ao quadro de sepse e até óbito materno (MONTEIRO, 2016;CIVANTOS, 2019). No entanto o profissional enfermeiro tem capacidade de estender seus saberes para sua equipe por meio de educação continuada, assim possibilitando que toda equipe tenha capacidade para transmitir informações tanto sobre o recém-nascido, assim como para os cuidados puerperais de mulheres que foram classificadas como de alto risco (MARQUES et al, 2018).…”

Section: Figuraunclassified

Puerpério de Alto Risco: Orientações Recebidas na Alta Hospitalar / High-risk puerperium: Guidelines received at hospital discharge

Catharino¹,

Santos²,

Medeiros³

et al. 2021

IDonline

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Esse estudo teve como objetivo identificar as orientações recebidas pelas puérperas de alto risco no momento da alta no puerpério precoce. Estudo quantitativo, realizado em uma maternidade de alto risco, com 296 puérperas, no período de outubro de 2016 a agosto de 2017. Os dados foram analisados no software SPSS 20.0 e o estudo foi aprovado pelo Comitê de Ética em Pesquisa com o parecer 1.757.596. O perfil predominante foi de jovens-adultas, brancas com companheiro fixo, primíparas. Quanto às orientações recebidas na alta hospitalar, houve predomínio do retorno puerperal (80,4%), infecção puerperal (62,2%). Os profissionais que forneceram orientações às puérperas destacaram-se o enfermeiro (65,7%). Evidenciou-se a importância de educação continuada aos profissionais, direcionada para a alta hospitalar, assim como a implementação de protocolo puerperal às gestantes de alto risco.

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Predictors of postpartum diabetes mellitus in patients with gestational diabetes

Cited by 2 publications

References 22 publications

Clinical and Metabolic Characterization of Women With Gestational Diabetes Mellitus Within the First Year Postpartum

Clinical and Metabolic Characterization of Women With Gestational Diabetes Mellitus Within the First Year Postpartum

Puerpério de Alto Risco: Orientações Recebidas na Alta Hospitalar / High-risk puerperium: Guidelines received at hospital discharge

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