PMID- 36360827
OWN - NLM
STAT- MEDLINE
DCOM- 20221114
LR  - 20230120
IS  - 1660-4601 (Electronic)
IS  - 1661-7827 (Print)
IS  - 1660-4601 (Linking)
VI  - 19
IP  - 21
DP  - 2022 Oct 27
TI  - Gestational Diabetes Mellitus in a Multi-Ethnic, High-Risk Population: Adequacy 
      of Screening for Diabetes Mellitus 6 Weeks after Delivery.
LID - 10.3390/ijerph192113946 [doi]
LID - 13946
AB  - Gestational diabetes mellitus (GDM) during pregnancy is a marker for future type 
      2 diabetes mellitus (T2DM); therefore, a meticulous follow-up after delivery can 
      help identify women at risk for T2DM. In a cohort of 5504 pregnant women, the 
      postpartum follow-up of all 1043 women with GDM for hyperglycemia in a 
      multi-ethnic, high-risk Arab population was investigated. The prevalence of GDM 
      was 18.9%. A total of 265 (25.4%) women returned for an oral glucose tolerance 
      test (OGTT) 4-6 weeks after delivery, with more South Asian than Arab women (p < 
      0.01). The other factors associated with return were (a) family history of T2DM, 
      (b) lower basic metabolic index, (c) higher abortions and (d) lower gravida (p < 
      0.05), all with minimal effect. An abnormal postpartum OGTT was statistically 
      associated with previous GDM history and hypoglycemic drug treatment, although 
      these effects were small. Overall, the follow-up of women with GDM postpartum was 
      dismal, ethnicity being the major factor influencing return. Urgent public 
      measures are needed to educate women with GDM about follow-up highlighting (a) 
      risk awareness for T2DM and (b) a healthy lifestyle after childbirth-if we are to 
      turn the tide on the epidemic of T2DM plaguing the Arab world.
FAU - Agarwal, Mukesh M
AU  - Agarwal MM
AUID- ORCID: 0000-0002-6171-1645
AD  - Department of Pathology, Faculty of Medicine, California University of Science 
      and Medicine, Colton, CA 92324, USA.
FAU - Lal, Madan
AU  - Lal M
AD  - Department of Obstetrics and Gynecology, Saint Luke's General Hospital, R95 FY71 
      Kilkenny, Ireland.
FAU - Vyas, Chintan D
AU  - Vyas CD
AD  - Department of Medicine, Burjeel Medical Center, Al Ain P.O. Box 103500, United 
      Arab Emirates.
LA  - eng
PT  - Journal Article
DEP - 20221027
PL  - Switzerland
TA  - Int J Environ Res Public Health
JT  - International journal of environmental research and public health
JID - 101238455
RN  - 0 (Blood Glucose)
SB  - IM
MH  - Female
MH  - Pregnancy
MH  - Humans
MH  - Male
MH  - *Diabetes, Gestational/diagnosis/epidemiology/therapy
MH  - *Diabetes Mellitus, Type 2/diagnosis/epidemiology
MH  - Ethnicity
MH  - Glucose Tolerance Test
MH  - *Glucose Intolerance/epidemiology
MH  - Postpartum Period
MH  - Risk Factors
MH  - Blood Glucose/metabolism
PMC - PMC9658585
OTO - NOTNLM
OT  - Arabs
OT  - OGTT
OT  - follow-up
OT  - gestational diabetes
COIS- The authors declare no conflict of interest.
EDAT- 2022/11/12 06:00
MHDA- 2022/11/15 06:00
PMCR- 2022/10/27
CRDT- 2022/11/11 01:18
PHST- 2022/09/20 00:00 [received]
PHST- 2022/10/12 00:00 [revised]
PHST- 2022/10/24 00:00 [accepted]
PHST- 2022/11/11 01:18 [entrez]
PHST- 2022/11/12 06:00 [pubmed]
PHST- 2022/11/15 06:00 [medline]
PHST- 2022/10/27 00:00 [pmc-release]
AID - ijerph192113946 [pii]
AID - ijerph-19-13946 [pii]
AID - 10.3390/ijerph192113946 [doi]
PST - epublish
SO  - Int J Environ Res Public Health. 2022 Oct 27;19(21):13946. doi: 
      10.3390/ijerph192113946.