PMID- 36855772
OWN - NLM
STAT- MEDLINE
DCOM- 20230411
LR  - 20230413
IS  - 1502-7724 (Electronic)
IS  - 0281-3432 (Print)
IS  - 0281-3432 (Linking)
VI  - 41
IP  - 1
DP  - 2023 Mar
TI  - Follow-up and screening for type-2 diabetes mellitus in women with previous 
      gestational diabetes in primary care.
PG  - 98-103
LID - 10.1080/02813432.2023.2182632 [doi]
AB  - OBJECTIVE: Gestational diabetes mellitus (GDM) is an established risk factor for 
      developing type 2 diabetes mellitus (T2DM) that is possible to prevent by 
      systematic follow-up and preventive measures. The aim of this study was to 
      examine whether women with previous GDM were offered follow-up in primary care, 
      according to Swedish national guidelines. DESIGN: Retrospective review of 
      electronic medical records. SETTING: Primary care in southern Sweden, Skane 
      county. SUBJECTS: Women who received a GDM diagnosis in 2018 at the Endocrinology 
      department, Skane University Hospital in Lund. The study population consisted of 
      a total number of 161 patients, whereof 83 patients were included. MAIN OUTCOME 
      MEASURES: Whether primary care offered follow-up for T2DM after GDM and if any 
      communication took place between secondary and primary care. Furthermore, it was 
      examined whether the quality of the follow-up was in accordance with the national 
      guidelines. RESULTS: Of the study population, a total of 29% (n = 24) had been 
      followed-up by primary care. In 55% (n = 46) of the cases, there was no 
      communication between secondary and primary care. Plasma glucose was checked in 
      all (n = 20) cases where follow-up could be evaluated. Conversations about 
      lifestyle habits took place in 70% (n = 14) of the cases. Weight and risk factors 
      for cardiovascular disease were controlled in less than half (n = 9) of the 
      patients. Lifestyle advice was offered in two cases and in 24% (n = 20) of the 
      cases an annual check-up was planned. CONCLUSIONS: The follow-up of women with 
      previous GDM in primary care in southern Sweden was lacking in seven out of 10 
      cases and showed great potential for improvement.Key PointsGestational diabetes 
      is an established risk factor for developing type 2 diabetes.Earlier research has 
      recognized that risk reduction is possible by systematic follow-up and preventive 
      measures, but the extent of follow-up in primary care in southern Sweden remains 
      unknown.This study demonstrates a lack of follow-up according to national 
      guidelines for women with previous gestational diabetes in primary care in 
      southern Sweden.There is great potential to improve the care of these patients 
      with relatively simple means.
FAU - Bjork Javanshiri, Amanda
AU  - Bjork Javanshiri A
AD  - Center for Primary Health Care Research, Department of Clinical Sciences Malmo, 
      Lund University, Lund, Sweden.
FAU - Calling, Susanna
AU  - Calling S
AUID- ORCID: 0000-0002-2420-3780
AD  - Center for Primary Health Care Research, Department of Clinical Sciences Malmo, 
      Lund University, Lund, Sweden.
FAU - Modig, Sara
AU  - Modig S
AD  - Center for Primary Health Care Research, Department of Clinical Sciences Malmo, 
      Lund University, Lund, Sweden.
LA  - eng
PT  - Journal Article
DEP - 20230228
PL  - United States
TA  - Scand J Prim Health Care
JT  - Scandinavian journal of primary health care
JID - 8510679
SB  - IM
MH  - Pregnancy
MH  - Humans
MH  - Female
MH  - *Diabetes, Gestational/diagnosis/epidemiology/prevention & control
MH  - *Diabetes Mellitus, Type 2/diagnosis/prevention & control
MH  - Follow-Up Studies
MH  - Risk Factors
MH  - Primary Health Care
PMC - PMC10088914
OTO - NOTNLM
OT  - Follow-up
OT  - gestational diabetes mellitus
OT  - prevention
OT  - primary health care
OT  - type 2 diabetes mellitus
COIS- No potential conflict of interest was reported by the author(s).
EDAT- 2023/03/02 06:00
MHDA- 2023/04/11 06:41
PMCR- 2023/02/28
CRDT- 2023/03/01 02:22
PHST- 2023/04/11 06:41 [medline]
PHST- 2023/03/02 06:00 [pubmed]
PHST- 2023/03/01 02:22 [entrez]
PHST- 2023/02/28 00:00 [pmc-release]
AID - 2182632 [pii]
AID - 10.1080/02813432.2023.2182632 [doi]
PST - ppublish
SO  - Scand J Prim Health Care. 2023 Mar;41(1):98-103. doi: 
      10.1080/02813432.2023.2182632. Epub 2023 Feb 28.