Abstract
Title: Early detection of diabetes after pregnancy complicated by gestational diabetes
Background: Women whose pregnancy was complicated by gestational diabetes have a 7-fold higher risk of developing diabetes, primarily type 2. 40% of women with a history gestational diabetes mellitus (GDM) develops type 2 diabetes within a ten-year period. Early detection can prevent or delay the onset of late complications, for which follow-up screening is important. The women are recommended follow-up screening every 1-2 years after birth do to the potentials in early detection of diabetes and prevention of health consequences for women.
Aims: Examine the extent of participation in follow-up screening in the Danish Region of North Jutland, and the possible consequences of nonattendance.
Methods: A register based study. In Danish national registers 2171 birthing women whose pregnancy was complicated by GDM and their participating in follow-up screening were identified. Diagnosis of diabetes or treatment with glucose-lowering agents after giving birth were also identified.
Results: Attendance in follow-up screening significantly decreased with time after giving birth. Women attending follow-up screening had a significantly higher risk of diabetes diagnosis and treatment after GDM than women not attending. Women with high incomes had a significantly lower risk of diabetes diagnosis or initiation of treatment compared to low-income women.
Conclusion: Participation in follow-up screening after gestational diabetes is low in the North Denmark Region. Follow-up screening ensures early detection of diabetes and initiation of treatment. This emphasizes the importance of development of interventions to improve early detection and prevention of diabetes after gestational diabetes.
Background: Women whose pregnancy was complicated by gestational diabetes have a 7-fold higher risk of developing diabetes, primarily type 2. 40% of women with a history gestational diabetes mellitus (GDM) develops type 2 diabetes within a ten-year period. Early detection can prevent or delay the onset of late complications, for which follow-up screening is important. The women are recommended follow-up screening every 1-2 years after birth do to the potentials in early detection of diabetes and prevention of health consequences for women.
Aims: Examine the extent of participation in follow-up screening in the Danish Region of North Jutland, and the possible consequences of nonattendance.
Methods: A register based study. In Danish national registers 2171 birthing women whose pregnancy was complicated by GDM and their participating in follow-up screening were identified. Diagnosis of diabetes or treatment with glucose-lowering agents after giving birth were also identified.
Results: Attendance in follow-up screening significantly decreased with time after giving birth. Women attending follow-up screening had a significantly higher risk of diabetes diagnosis and treatment after GDM than women not attending. Women with high incomes had a significantly lower risk of diabetes diagnosis or initiation of treatment compared to low-income women.
Conclusion: Participation in follow-up screening after gestational diabetes is low in the North Denmark Region. Follow-up screening ensures early detection of diabetes and initiation of treatment. This emphasizes the importance of development of interventions to improve early detection and prevention of diabetes after gestational diabetes.
Originalsprog | Engelsk |
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Publikationsdato | 2016 |
Status | Udgivet - 2016 |
Begivenhed | NJF 2016 - Nordisk jordemoderforbunds kongres: NJF 2016 - Nordisk jordemoderforbunds kongres - Göteborg, Göteborg, Sverige Varighed: 12 maj 2016 → 14 maj 2016 http://njfcongress.se/ |
Konference
Konference | NJF 2016 - Nordisk jordemoderforbunds kongres |
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Lokation | Göteborg |
Land/Område | Sverige |
By | Göteborg |
Periode | 12/05/16 → 14/05/16 |
Internetadresse |
Emneord
- Sundhed, ernæring og livskvalitet