Prevalence and predictors of postpartum glucose intolerance in Italian women with gestational diabetes mellitus

Capula, Carmelo; Chiefari, Eusebio; Vero, Anna; Foti, Daniela; Brunetti, Antonio; Vero, Raffaella

doi:10.1016/j.diabres.2014.05.008

Cited by 68 publications

(86 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There was a range of awareness from sufficient awareness to insufficient awareness about screening. At confirmation of our findings, previous studies have shown that education and awareness of women with recent GDM about postpartum diabetes screening had several levels, moreover, education had an important role in doing the screening (18)(19)(20).…”

Section: Discussionsupporting

confidence: 77%

Procrastination as a Key Factor in Postpartum Screening for Diabetes: A Qualitative Study of Iranian Women with Recent Gestational Diabetes

Rafii

Rahimparvar

Keramat

et al. 2017

Iran Red Crescent Med J

View full text Add to dashboard Cite

Background: Women with previous gestational diabetes mellitus (GDM) are at elevated risk for developing Type 2 diabetes. Despite the recommendation for postpartum diabetes screening for these women, the rate of screening is low. Objectives: The present study aimed at conducting an in-depth exploration of the experiences of Iranian women with recent GDM in the process of diabetes screening. Methods: This grounded theory qualitative study was conducted in Tehran, Iran, from 2013 to 2016. In this study, 22 women with recent GDM, who gave birth at least 6 months before the interview, were selected by purposeful sampling method; then, to achieve saturation, the participants were followed using theoretical sampling method. The participants were asked about their postpartum experiences, specially about the process of attendance/not attendance in diabetes screening at 6 weeks to 6 months after child birth, using semi-structured interviews. Data were analyzed using Corbin and Strauss method (2008). Results: Three main categories were extracted as postpartum diabetes screening process in women with a recent GDM: to be aware, to be sensitive, and to perceive severity of the threat. Also, the outcomes have been classified into 4 levels: selective screening, accidental screening, primary lack of screening, and secondary lack of screening. In our study, the participants had a range of procrastination in screening, from no procrastination in selective screening to high procrastination in secondary lack of screening. Sometimes, the participants had the intention to be screened but they took no action, did not do the screening due to self-deception, or perceived screening as lacking immediate reward (3 main features of procrastination). Thus, due to procrastination, they did not do the screening. Screening in the range of procrastination, as the core category, was the most obvious concept that implicitly existed in all the data. Conclusions: Even when sensitivity and perceiving a threat about diabetes were activated in women with recent GDM, they did not undertake screening due to procrastination. Procrastination is an important and missed factor in screening. Conducting further studies is recommended to develop evidence-based strategies to decrease women's procrastination in screening.

show abstract

Section: Discussionsupporting

confidence: 77%

Procrastination as a Key Factor in Postpartum Screening for Diabetes: A Qualitative Study of Iranian Women with Recent Gestational Diabetes

Rafii

Rahimparvar

Keramat

et al. 2017

Iran Red Crescent Med J

View full text Add to dashboard Cite

show abstract

“…Capula et al [21] also observed that out of 454 Italian women with GDM, at 6-12 weeks postpartum, 63.9% were normal, 32.1% had prediabetes (IFG/ IGT), and 4.0% had T2DM.…”

Section: Discussionmentioning

confidence: 91%

Prevalence of glucose intolerance at 6 weeks postpartum in Indian women with gestational diabetes mellitus

Jindal

Siddiqui

Gupta

et al. 2015

Diabetes & Metabolic Syndrome: Clinical Research & Revi

View full text Add to dashboard Cite

“…Family history of diabetes is associated with abnormal glucose tolerance, using both index pregnancy variables, and variables available at follow-up, and whether or not women with abnormal glucose tolerance at the 12-week test are included in the analysis. Family history has been identified as a risk factor (15,31), although less consistently than the above factors. All of these factors are routinely available clinically, but cannot reliably discriminate between those women who require more frequent follow-up from those who do not.…”

Section: Discussionmentioning

confidence: 99%

Abnormal glucose tolerance post-gestational diabetes mellitus as defined by the International Association of Diabetes and Pregnancy Study Groups criteria

Noctor

Crowe

Carmody

et al. 2016

European Journal of Endocrinology

View full text Add to dashboard Cite

Objective: An increase in gestational diabetes mellitus (GDM) prevalence has been demonstrated across many countries with adoption of the International Association of the Diabetes and Pregnancy Study Groups (IADPSG) diagnostic criteria. Here, we determine the cumulative incidence of abnormal glucose tolerance among women with previous GDM, and identify clinical risk factors predicting this. Design: Two hundred and seventy women with previous IADPSG-defined GDM were prospectively followed up for 5 years (mean 2.6) post-index pregnancy, and compared with 388 women with normal glucose tolerance (NGT) in pregnancy. Methods: Cumulative incidence of abnormal glucose tolerance (using American Diabetes Association criteria for impaired fasting glucose, impaired glucose tolerance and diabetes) was determined using the Kaplan-Meier method of survival analysis. Cox regression models were constructed to test for factors predicting abnormal glucose tolerance. Results: Twenty-six percent of women with previous GDM had abnormal glucose tolerance vs 4% with NGT, with the log-rank test demonstrating significantly different survival curves (P < 0.001). Women meeting IADPSG, but not the World Health Organization (WHO) 1999 criteria, had a lower cumulative incidence than women meeting both sets of criteria, both in the early post-partum period (4.2% vs 21.7%, P < 0.001) and at longer-term follow-up (13.7% vs 32.6%, P < 0.001). Predictive factors were glucose levels on the pregnancy oral glucose tolerance test, family history of diabetes, gestational week at testing, and BMI at follow-up. Conclusions: The proportion of women developing abnormal glucose tolerance remains high among those with IADPSG-defined GDM. This demonstrates the need for continued close follow-up, although the optimal frequency and method needs further study.

show abstract

Prevalence and predictors of postpartum glucose intolerance in Italian women with gestational diabetes mellitus

Cited by 68 publications

References 43 publications

Procrastination as a Key Factor in Postpartum Screening for Diabetes: A Qualitative Study of Iranian Women with Recent Gestational Diabetes

Procrastination as a Key Factor in Postpartum Screening for Diabetes: A Qualitative Study of Iranian Women with Recent Gestational Diabetes

Prevalence of glucose intolerance at 6 weeks postpartum in Indian women with gestational diabetes mellitus

Abnormal glucose tolerance post-gestational diabetes mellitus as defined by the International Association of Diabetes and Pregnancy Study Groups criteria

Contact Info

Product

Resources

About