PMID- 36191536
OWN - NLM
STAT- MEDLINE
DCOM- 20221025
LR  - 20221207
IS  - 1878-0334 (Electronic)
IS  - 1871-4021 (Linking)
VI  - 16
IP  - 10
DP  - 2022 Oct
TI  - Predictors of postpartum glucose metabolism disorders in women with gestational 
      diabetes mellitus.
PG  - 102629
LID - S1871-4021(22)00243-0 [pii]
LID - 10.1016/j.dsx.2022.102629 [doi]
AB  - BACKGROUND AND AIMS: Postpartum glucose metabolism disorders are a common problem 
      in women with gestational diabetes mellitus (GDM). They are often underdiagnosed 
      since many patients do not attend the postpartum screening. This study aims to 
      assess predictors of postpartum glucose metabolism disorders and type 2 diabetes 
      mellitus (T2DM) after GDM. MATERIAL AND METHODS: Retrospective study in women 
      with GMD who underwent postpartum screening for glucose metabolism disorders 
      (n = 2688). Logistic regression was used in the statistical analysis. RESULTS: 
      24.6% of women had postpartum glucose metabolism disorder. In multivariate 
      analysis, pre-pregnancy body mass index (BMI) 25-30 kg/m(2) (OR 1.46, 95%CI 1.05 
      to 2.02) or BMI >/=30 kg/m(2) (OR 2.62, 95%CI 1.72 to 3.96), diagnosis of GDM 
      before 20 weeks of pregnancy (OR 2.33, 95%CI 1.57 to 3.46), fasting plasma 
      glucose after diagnosis of GDM >/=90 mg/dl (OR 2.12, 95%CI 1.50 to 2.98), 
      postprandial glucose >/=100 mg/dl (OR 1.47, 95%CI 1.09 to 2.99), and HbA1c in the 
      third trimester of pregnancy >/=5.3% (2.04, 95%CI, 1.52 to 2.75) were independent 
      predictors for any postpartum glucose metabolism disorder. CONCLUSION: postpartum 
      screening for T2DM should be performed in all women with GDM, and it is 
      especially important not to lose follow-up in those with one or more predictive 
      factors.
CI  - Copyright (c) 2022 Diabetes India. Published by Elsevier Ltd. All rights reserved.
FAU - Garcia-Moreno, Rosa M
AU  - Garcia-Moreno RM
AD  - Department of Endocrinology and Nutrition, Hospital Universitario La Paz, Madrid, 
      Spain. Electronic address: rosagarcia2812@gmail.com.
FAU - Benitez-Valderrama, Pamela
AU  - Benitez-Valderrama P
AD  - Department of Endocrinology and Nutrition, Hospital Universitario La Paz, Madrid, 
      Spain.
FAU - Barquiel, Beatriz
AU  - Barquiel B
AD  - Department of Endocrinology and Nutrition, Hospital Universitario La Paz, Madrid, 
      Spain.
FAU - Hillman, Natalia
AU  - Hillman N
AD  - Department of Endocrinology and Nutrition, Hospital Universitario La Paz, Madrid, 
      Spain.
FAU - Herranz, Lucrecia
AU  - Herranz L
AD  - Department of Endocrinology and Nutrition, Hospital Universitario La Paz, Madrid, 
      Spain.
FAU - Perez-de-Villar, Noemi Gonzalez
AU  - Perez-de-Villar NG
AD  - Department of Endocrinology and Nutrition, Hospital Universitario La Paz, Madrid, 
      Spain.
LA  - eng
PT  - Journal Article
DEP - 20220923
PL  - Netherlands
TA  - Diabetes Metab Syndr
JT  - Diabetes & metabolic syndrome
JID - 101462250
RN  - 0 (Blood Glucose)
RN  - 0 (Glycated Hemoglobin A)
SB  - IM
MH  - Pregnancy
MH  - Humans
MH  - Female
MH  - *Diabetes, Gestational/diagnosis/epidemiology
MH  - Glucose Tolerance Test
MH  - Blood Glucose/metabolism
MH  - Glycated Hemoglobin/metabolism
MH  - *Diabetes Mellitus, Type 2/complications/epidemiology
MH  - Retrospective Studies
MH  - Postpartum Period
MH  - Risk Factors
OTO - NOTNLM
OT  - Gestational diabetes mellitus
OT  - Glucose metabolism disorder
OT  - Postpartum
OT  - Predictors
OT  - Type 2 diabetes mellitus
COIS- Declaration of competing interest The authors declare that there is no conflict 
      of interest regarding the publication of this paper.
EDAT- 2022/10/04 06:00
MHDA- 2022/10/26 06:00
CRDT- 2022/10/03 18:28
PHST- 2022/03/04 00:00 [received]
PHST- 2022/09/13 00:00 [revised]
PHST- 2022/09/15 00:00 [accepted]
PHST- 2022/10/04 06:00 [pubmed]
PHST- 2022/10/26 06:00 [medline]
PHST- 2022/10/03 18:28 [entrez]
AID - S1871-4021(22)00243-0 [pii]
AID - 10.1016/j.dsx.2022.102629 [doi]
PST - ppublish
SO  - Diabetes Metab Syndr. 2022 Oct;16(10):102629. doi: 10.1016/j.dsx.2022.102629. 
      Epub 2022 Sep 23.