Recurrence of gestational diabetes mellitus: Rates and risk factors from initial GDM and one abnormal GTT value

Nohira, Tomoyoshi; Kim, Seiichi; Nakai, Hiromi; Okabe, Kazuhiro; Yoneyama, Kuniyoshi

doi:10.1016/j.diabres.2005.05.011

Cited by 35 publications

(23 citation statements)

References 17 publications

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“…Women should be counselled that the recurrence rate of GDM is high, from 30% to 84%, in subsequent pregnancies (436,437). 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).…”

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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Section: Postpartummentioning

confidence: 99%

Diabetes and Pregnancy

Feig¹,

Berger²,

Donovan³

et al. 2018

Canadian Journal of Diabetes

238

169

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“…Race/ethnicity is regarded as another major risk factor; lower rates of GDM recurrence (30–37%) have been found in non‐Hispanic white populations, whereas higher GDM recurrence rates (52–69%) have been found in minority populations, including African‐American, Latino and Asian populations . Other factors that have been identified as predictors of recurrent GDM include obesity, age at pregnancy and parity . However, inconsistent findings regarding whether education, number of visits during pregnancy and IPI are related to GDM recurrence have been reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

Recurrence of diet‐treated gestational diabetes in primiparous women in northern Zhejiang, China: Epidemiology, risk factors and implications

Wang

et al. 2018

J of Obstet and Gynaecol

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“…In general, greater maternal age, obesity, degree of hyperglycemia in the index pregnancy, increased weight gain, and short interval between pregnancies were suggested to be associated with recurrent GDM (7)(8)(9)(10)(11). However, biochemical parameters, such as glucose and insulin levels during pregnancy and/or early postpartum, have not often been evaluated as risk factors for recurrence of GDM.…”

Section: G Estational Diabetes Mellitus (Gdm)mentioning

confidence: 99%

“…Although one study reported the recurrence rate of GDM in Asian women (8), the sample size was small and widely used diagnostic criteria for GDM were not applied.…”

Section: G Estational Diabetes Mellitus (Gdm)mentioning

confidence: 99%

Subsequent Pregnancy After Gestational Diabetes Mellitus

et al. 2008

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OBJECTIVE -The purpose of this study was to determine the frequency of recurrent gestational diabetes mellitus (GDM) and to find risk factors that can predict the recurrence of GDM in Korean women with previous GDM.RESEARCH DESIGN AND METHODS -We evaluated women who had GDM in an index pregnancy (1993)(1994)(1995)(1996)(1997)(1998)(1999)(2000)(2001)) and a subsequent pregnancy by 2003. An oral glucose tolerance test (OGTT) was performed during the index pregnancy and 2 months postpartum. The recurrence rate of GDM was assessed among 111 women who had a subsequent pregnancy. Multivariate logistic regression analysis was used to identify independent predictors of recurrent GDM.RESULTS -The frequency of recurrent GDM in subsequent pregnancies was 45.0% (95% CI 35.6 -54.4%). Women with impaired fasting glucose and/or impaired glucose tolerance 2 months postpartum were at increased risk for recurrent GDM (relative risk 2.31, 95% CI 1.24 -4.30). Higher BMI before the subsequent pregnancy (P ϭ 0.024), higher fasting glucose concentration (P ϭ 0.007) 2 months postpartum, and lower 1-h insulin concentration (P ϭ 0.004) of the diagnostic OGTT in the index pregnancy were independent risk factors for recurrence of GDM in subsequent pregnancies.CONCLUSIONS -GDM recurred in nearly half of subsequent pregnancies in Korean women. Fasting glucose 2 months postpartum might be a clinically valuable predictor of recurrent GDM risk.

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Recurrence of gestational diabetes mellitus: Rates and risk factors from initial GDM and one abnormal GTT value

Cited by 35 publications

References 17 publications

Diabetes and Pregnancy

Diabetes and Pregnancy

Recurrence of diet‐treated gestational diabetes in primiparous women in northern Zhejiang, China: Epidemiology, risk factors and implications

Subsequent Pregnancy After Gestational Diabetes Mellitus

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