PMID- 38328480 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240228 IS - 2472-1972 (Electronic) IS - 2472-1972 (Linking) VI - 8 IP - 3 DP - 2024 Jan 16 TI - Abnormal Glucose Tolerance in Women Diagnosed With Gestational Diabetes (WHO 2013) 10 Years After Index Pregnancy. PG - bvae013 LID - 10.1210/jendso/bvae013 [doi] LID - bvae013 AB - CONTEXT: It is not clear if the risk of abnormal glucose tolerance (AGT) is attenuated in the long-term in women diagnosed with gestational diabetes (GDM) using the World Health Organization (WHO) 2013 criteria and who have received appropriate treatment during pregnancy. OBJECTIVE: We aimed to assess the long-term prevalence of AGT and other cardiovascular disease (CVD) risk factors in this cohort. METHODS: A retrospective cohort follow-up study was conducted of 37 and 107 women diagnosed with and without GDM respectively using the WHO 2013 criteria between June 2010 and December 2010. Women were invited to attend our center, where they underwent a 75-g oral glucose tolerance test, blood and urine collection, body measurements, and electrocardiography. Main outcome measure included the development of AGT using the American Diabetes Association criteria. RESULTS: Sixteen (43.2%) women with GDM compared to 5 (4.7%) women with normal glucose tolerance (NGT) at index pregnancy had AGT (P < .001). In the GDM group, 10 (27.0%), 7 (18.9%), and 4 (10.8%) women had impaired fasting glucose (IFG), impaired glucose tolerance (IGT), and type 2 diabetes mellitus (T2DM), respectively. In the NGT group, 2 (1.9%), 3 (2.8%), and 1 (0.9%) woman had IFG, IGT, and T2DM, respectively. Women with AGT also had an unfavorable metabolic profile including obesity, hypertension, insulin resistance, and dyslipidemia. CONCLUSION: Women treated for GDM (WHO 2013 criteria) remain at increased risk for developing AGT and adverse CVD risk factors as early as a decade after diagnosis. Continued efforts are needed to accurately follow this population to address modifiable risk factors. CI - (c) The Author(s) 2024. Published by Oxford University Press on behalf of the Endocrine Society. FAU - Kgosidialwa, Oratile AU - Kgosidialwa O AUID- ORCID: 0000-0002-4249-6302 AD - College of Medicine, Nursing and Health Sciences, National University of Ireland Galway, Galway, H91TK33, Ireland. FAU - Newman, Christine AU - Newman C AD - College of Medicine, Nursing and Health Sciences, National University of Ireland Galway, Galway, H91TK33, Ireland. FAU - Carmody, Louise AU - Carmody L AD - College of Medicine, Nursing and Health Sciences, National University of Ireland Galway, Galway, H91TK33, Ireland. FAU - McGrath, Brian AU - McGrath B AD - College of Medicine, Nursing and Health Sciences, National University of Ireland Galway, Galway, H91TK33, Ireland. FAU - O'Shea, Paula M AU - O'Shea PM AD - College of Medicine, Nursing and Health Sciences, National University of Ireland Galway, Galway, H91TK33, Ireland. FAU - Dunne, Fidelma AU - Dunne F AD - College of Medicine, Nursing and Health Sciences, National University of Ireland Galway, Galway, H91TK33, Ireland. LA - eng PT - Journal Article DEP - 20240130 PL - United States TA - J Endocr Soc JT - Journal of the Endocrine Society JID - 101697997 PMC - PMC10849116 OTO - NOTNLM OT - abnormal glucose tolerance OT - cardiovascular risk factors OT - gestational diabetes EDAT- 2024/02/08 06:42 MHDA- 2024/02/08 06:43 PMCR- 2024/01/30 CRDT- 2024/02/08 04:20 PHST- 2023/11/13 00:00 [received] PHST- 2024/02/08 06:43 [medline] PHST- 2024/02/08 06:42 [pubmed] PHST- 2024/02/08 04:20 [entrez] PHST- 2024/01/30 00:00 [pmc-release] AID - bvae013 [pii] AID - 10.1210/jendso/bvae013 [doi] PST - epublish SO - J Endocr Soc. 2024 Jan 30;8(3):bvae013. doi: 10.1210/jendso/bvae013. eCollection 2024 Jan 16.