SUGAR: Spotting Undiagnosed Glucose Abnormal Results—A New Protocol To Increase Postpartum Testing Among Women With Gestational Diabetes Mellitus

Introduction Breastfeeding can lower postpartum oral glucose tolerance test results by 5%. Similar data do not exist regarding fructosamine and HbA1c. The primary outcome was to determine if breastfeeding would lower fructosamine values by 5%. Methods At the 4–8 week postpartum visit, women with uncomplicated pregnancies were given a questionnaire and had blood drawn for fructosamine and HbA1c. Results Breastfeeding ( n = 22) and non-breastfeeding women ( n = 28) were demographically similar, including postpartum weight loss. The respective values among breastfeeding and non-breastfeeding women were: fructosamine 2.20 versus 2.21 mmol/L; HbA1c 5.2% versus 5.2%. Only two of the seven women with an HbA1c of 5.7% or more had an abnormal fructosamine. Conclusion After uncomplicated pregnancies, breastfeeding was not associated with lower levels of postpartum fructosamine or HbA1c. Future research to improve screening for persistent postpartum dysglycemia in high-risk populations can utilize these tests without concern that results will be confounded by breastfeeding.

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SUGAR: Spotting Undiagnosed Glucose Abnormal Results—A New Protocol To Increase Postpartum Testing Among Women With Gestational Diabetes Mellitus

Abstract: This pilot study found that an in-office testing model doubled the rate of postpartum testing in this clinic population, and was reasonably sensitive at detecting dysglycemia.

Cited by 4 publications

References 37 publications

Diabetologische Versorgung von Frauen mit Gestationsdiabetes in Deutschland

Diabetologische Versorgung von Frauen mit Gestationsdiabetes in Deutschland

Regarding: “The discordance between HbA1c and glucose tolerance testing for the postpartum exclusion of diabetes following gestational diabetes”

The effect of breastfeeding on postpartum fructosamine and HbA1c values after normal pregnancy

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