PMID- 32650034
OWN - NLM
STAT- MEDLINE
DCOM- 20201015
LR  - 20201015
IS  - 1872-8227 (Electronic)
IS  - 0168-8227 (Linking)
VI  - 166
DP  - 2020 Aug
TI  - Postpartum screening for type 2 diabetes mellitus in women with gestational 
      diabetes: Is it really performed?
PG  - 108309
LID - S0168-8227(20)30561-1 [pii]
LID - 10.1016/j.diabres.2020.108309 [doi]
AB  - AIMS: This study evaluates the adherence to postpartum type 2 diabetes mellitus 
      (T2DM) screening in women with previous gestational diabetes (GDM) and identifies 
      elements associated with poor attendance. METHODS: We retrospectively collected 
      data from 650 consecutive women with GDM between 2016 and 2018, who should had 
      75 g-OGTT, 4-12 weeks after delivery. Impaired glucose regulation (IGR) was 
      defined according with ADA criteria. RESULTS: Only 41% of women had postpartum 
      OGTT. Of these, 1.9% received T2DM diagnosis, with IGR prevalence of 18%. After 
      introducing a recommendation letter, adherence to screening increased (47% in 
      2017 and 43% in 2018 vs. 32% in 2016). Screening procedure was less common in 
      women with: no-family history of T2DM (38% vs. 46%; p < 0.05), age <35 (33% vs. 
      47%; p < 0.01), lower level of education (32% no-high-school-diploma vs. 35% 
      high-school-diploma vs. 49% university-degree; p < 0.01) and unstable employment 
      (35% vs. 44%; p < 0.05). At multivariate logistic regression analysis, age 
      <35 years (OR 1.61; 95%CI: 1.14-2.28) and lowest educational level (OR 1.64; 95% 
      CI: 1.13-2.37, compared to University degree) were independently associated with 
      non-adherence. CONCLUSION: Only 41% of women had postpartum T2DM screening. Women 
      with lower attendance are those with age <35 years or low educational level. 
      Further strategies are needed to implement postpartum test.
CI  - Copyright (c) 2020 Elsevier B.V. All rights reserved.
FAU - de Gennaro, G
AU  - de Gennaro G
AD  - Diabetes Center - University of Pisa, Italy.
FAU - Bianchi, C
AU  - Bianchi C
AD  - Diabetes Center - University Hospital of Pisa, Italy. Electronic address: 
      c.bianchi@ao-pisa.toscana.it.
FAU - Aragona, M
AU  - Aragona M
AD  - Diabetes Center - University Hospital of Pisa, Italy.
FAU - Battini, L
AU  - Battini L
AD  - Maternal-Infant Department- University Hospital of Pisa, Italy.
FAU - Baronti, W
AU  - Baronti W
AD  - Diabetes Center - University of Pisa, Italy.
FAU - Brocchi, A
AU  - Brocchi A
AD  - Diabetes Center - University of Pisa, Italy.
FAU - Del Prato, S
AU  - Del Prato S
AD  - Diabetes Center - University of Pisa, Italy.
FAU - Bertolotto, A
AU  - Bertolotto A
AD  - Diabetes Center - University of Pisa, Italy.
LA  - eng
PT  - Journal Article
DEP - 20200708
PL  - Ireland
TA  - Diabetes Res Clin Pract
JT  - Diabetes research and clinical practice
JID - 8508335
SB  - IM
MH  - Adult
MH  - Diabetes Mellitus, Type 2/*epidemiology
MH  - Diabetes, Gestational/*epidemiology
MH  - Female
MH  - Humans
MH  - Postpartum Period/*physiology
MH  - Pregnancy
MH  - Retrospective Studies
OTO - NOTNLM
OT  - Gestational diabetes
OT  - Postpartum
OT  - Pregnancy
OT  - Type 2 diabetes screening
COIS- Declaration of Competing Interest The authors declare that they have no known 
      competing financial interests or personal relationships that could have appeared 
      to influence the work reported in this paper.
EDAT- 2020/07/11 06:00
MHDA- 2020/10/21 06:00
CRDT- 2020/07/11 06:00
PHST- 2020/04/04 00:00 [received]
PHST- 2020/06/19 00:00 [revised]
PHST- 2020/07/02 00:00 [accepted]
PHST- 2020/07/11 06:00 [pubmed]
PHST- 2020/10/21 06:00 [medline]
PHST- 2020/07/11 06:00 [entrez]
AID - S0168-8227(20)30561-1 [pii]
AID - 10.1016/j.diabres.2020.108309 [doi]
PST - ppublish
SO  - Diabetes Res Clin Pract. 2020 Aug;166:108309. doi: 10.1016/j.diabres.2020.108309. 
      Epub 2020 Jul 8.