PMID- 37779767
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20231003
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 15
IP  - 8
DP  - 2023 Aug
TI  - Postpartum Screening for Type 2 Diabetes Mellitus Among Women With Gestational 
      Diabetes Mellitus at King Abdulaziz University Hospital: A Cross-Sectional Study.
PG  - e44273
LID - 10.7759/cureus.44273 [doi]
LID - e44273
AB  - Background Diabetes is characterized by elevated blood glucose levels due to 
      inadequate insulin production or abnormalities in cellular activity. Gestational 
      diabetes mellitus (GDM) is one of the most prominent indicators of type 2 
      diabetes mellitus (T2DM), which develops in pregnant women whose pancreatic 
      function is insufficient to control the insulin resistance associated with 
      pregnancy. Moreover, it is the most common metabolic disorder, with the majority 
      of cases beginning in the second or third trimester of pregnancy and affecting up 
      to 25% of pregnant women. Objectives The objective of this study was to identify 
      factors associated with postpartum T2DM screening in women with GDM at King 
      Abdulaziz University Hospital (KAUH) between 2010 and 2022. The secondary 
      objective was to assess the factors associated with providing information to the 
      patients about the risks of increased blood glucose and postpartum lifestyle 
      modification. Methods We conducted a retrospective cross-sectional study at KAUH 
      to investigate potential factors associated with postpartum screening for T2DM. 
      Out of 564 patients diagnosed with GDM between 2020 and 2022, we included 200 
      women aged over 18 years with a history of GDM, as they met the inclusion 
      criteria for our study. Patients younger than 18 years with missing or incomplete 
      baseline characteristics were excluded. Data were analyzed using SPSS Statistics 
      version 21 (IBM Corp. Released 2012. IBM SPSS Statistics for Windows, Version 
      21.0. Armonk, NY: IBM Corp.), and p-value <0.05 was considered significant. 
      Results A total of 200 postpartum women with GDM were included in this study. 
      Their mean age was 35.02+/-5.2 years. Many of them had a family history of diabetes 
      (83.0%) and a previous diagnosis of GDM (60.5%). The patients who performed 
      glucose testing six weeks after birth were previously diagnosed with GDM (37.0%) 
      or with a family history of diabetes (45.5%). The significant variables in this 
      analysis were mothers having frequent postpartum hospital follow-up visits 
      (P<0.001), mothers with gestational weight gain (P=0.018), those who were 
      informed about the risks of increased blood glucose (P=0.011), and those who were 
      informed about plans for postpartum glucose screening (P=0.002). The mothers with 
      a previous history of GDM were the highest to be informed of the risks of 
      elevated blood glucose. Conclusion Frequent postpartum hospital follow-up visits, 
      gestational weight gain, knowledge of the risks of elevated blood sugar, and 
      postpartum glucose screening plans were all associated with postpartum glucose 
      testing rates among women with GDM in Saudi Arabia.
CI  - Copyright (c) 2023, Arab et al.
FAU - Arab, Suha
AU  - Arab S
AD  - Department of Obstetrics and Gynecology, King Abdulaziz University Hospital, 
      Jeddah, SAU.
AD  - Department of Medicine, King Abdulaziz University, Jeddah, SAU.
FAU - Binmahfooz, Saleh
AU  - Binmahfooz S
AD  - Department of Medicine, King Abdulaziz University, Jeddah, SAU.
FAU - Abualsaud, Renad M
AU  - Abualsaud RM
AD  - Department of Medicine, King Abdulaziz University, Jeddah, SAU.
FAU - Basuliman, Alaa A
AU  - Basuliman AA
AD  - Department of Medicine, King Abdulaziz University, Jeddah, SAU.
FAU - Qurain, Roba
AU  - Qurain R
AD  - Department of Medicine, King Abdulaziz University, Jeddah, SAU.
FAU - AlSaidlani, Rawan H
AU  - AlSaidlani RH
AD  - Department of Medicine, King Abdulaziz University, Jeddah, SAU.
FAU - Alsharif, Shaker
AU  - Alsharif S
AD  - Department of Medicine, King Abdulaziz University, Jeddah, SAU.
FAU - Alsaiari, Maha
AU  - Alsaiari M
AD  - Department of Medicine, King Abdulaziz University, Jeddah, SAU.
FAU - Awami, Hadeel
AU  - Awami H
AD  - Department of Medicine, King Abdulaziz University, Jeddah, SAU.
LA  - eng
PT  - Journal Article
DEP - 20230828
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC10539098
OTO - NOTNLM
OT  - diabetes screening
OT  - gestational diabetes mellitus (gdm)
OT  - postpartum
OT  - saudi arabia
OT  - six weeks
COIS- The authors have declared that no competing interests exist.
EDAT- 2023/10/02 06:42
MHDA- 2023/10/02 06:43
PMCR- 2023/08/28
CRDT- 2023/10/02 04:17
PHST- 2023/08/28 00:00 [accepted]
PHST- 2023/10/02 06:43 [medline]
PHST- 2023/10/02 06:42 [pubmed]
PHST- 2023/10/02 04:17 [entrez]
PHST- 2023/08/28 00:00 [pmc-release]
AID - 10.7759/cureus.44273 [doi]
PST - epublish
SO  - Cureus. 2023 Aug 28;15(8):e44273. doi: 10.7759/cureus.44273. eCollection 2023 
      Aug.