Gestational Diabetes Is a Herald of NIDDM in Navajo Women: High rate of abnormal glucose tolerance after GDM

  title={Gestational Diabetes Is a Herald of NIDDM in Navajo Women: High rate of abnormal glucose tolerance after GDM},
  author={J R Steinhart and Jonathan R. Sugarman and Frederick A. Connell},
  journal={Diabetes Care},
  pages={943 - 947}
OBJECTIVE To estimate the rate of deterioration of glucose tolerance and evaluate risk factors for development of NIDDM in Navajo women with a history of gestational diabetes mellitus (GDM). RESEARCH DESIGN AND METHODS A retrospective analysis of 111 GDM deliveries over a 4-year period, 1983–1987, was conducted in 1994 to determine glucose tolerance status. Patients who had not developed NIDDM were recalled for a 2-h glucose tolerance test (GTT). Tested and non-tested patients were compared, as… 
Women with GDM have a substantially increased risk of developing postpartum IGT or diabetes, and high glucose levels, insulin requirement during pregnancy, history of abortion and BMI≥27kg/m 2 are the best predictors for post partum diabetes and IGT.
Antepartum glucose tolerance test results as predictors of type 2 diabetes mellitus in women with a history of gestational diabetes mellitus: a systematic review.
FBG, OGTT 2-hour blood glucose, and OGTT glucose AUC appeared to be strong and consistent predictors of subsequent T2DM among women who met diagnostic criteria for GDM using the OGTT.
Maternal glycemic status in GDM patients after delivery
Results of multivariate analysis suggested that gestational necessity for insulin prescribing and BMI≥27 kg/m2 were the two best predictors for developing postpartum diabetes and Impaired Glucose Tolerance was present after adjusting for the age.
Postpartum Reclassification of Glycemic Status in Women with Gestational Diabetes Mellitus and Associated Risk Factors.
  • J. Alves, Aline Stollmeier, +4 authors R. Réa
  • Medicine
    Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia
  • 2016
Family history of T2DM, higher pre-pregnancy BMI, early onset of GDM, high glucose levels, and insulin requirement during pregnancy were important risk factors for the early identification of women at high risk of developing type 2 diabetes mellitus.
Predictors of Abnormal Glucose Tolerance in the Early Postpartum Period in Patients with Gestational Diabetes.
Patients with gestational diabetes who met the criteria specified at diagnosis were at a higher risk of developing diabetes mellitus in the future by explaining this issue to patients, and it is expected to improve the rate of postpartum follow-up.
The Risk Factors and Incidence of Type 2 Diabetes Mellitus and Metabolic Syndrome in Women With Previous Gestational Diabetes
Women with a history of GDM should be screened at a regular interval for diabetes and other cardiovascular risk factors, and the most common component of MetS was FBS > 100 mg/dL (> 5.55 mmol/L).
Gestational Diabetes and Future Risk of Diabetes
Fasting and post-prandial glucose levels in the oral glucose tolerance test during pregnancy were associated with future risk of diabetes and there was no association with age, gestational age at diagnosis of GDM, numbers of previous and subsequent pregnancies.
Abnormal glucose tolerance post-gestational diabetes mellitus as defined by the International Association of Diabetes and Pregnancy Study Groups criteria.
The proportion of women developing abnormal glucose tolerance remains high among those with IADPSG-defined GDM, demonstrating the need for continued close follow-up, although the optimal frequency and method needs further study.
Incidence of Postpartum Diabetes and Glucose Intolerance among Filipino Patients with Gestational Diabetes Mellitus seen at a Tertiary Hospital
Clinicians should be more vigilant and strategies to implement compliance to postpartum glucose testing must be formulated to increase rates of follow-up testing among these women.
Oral glucose tolerance test and pregnancy outcomes
Number of diagnostic antenatal OGTT values obtained during diagnosis of GDM was signifi cantly correlated with the development of maternal and neonatal complications and contributed to insulin need during index pregnancy.