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.
| Original language | English |
|---|---|
| Publication date | 2016 |
| Publication status | Published - 2016 |
| Event | NJF 2016 - Nordisk jordemoderforbunds kongres: NJF 2016 - Nordisk jordemoderforbunds kongres - Göteborg, Göteborg, Sweden Duration: 12 May 2016 → 14 May 2016 http://njfcongress.se/ |
Conference
| Conference | NJF 2016 - Nordisk jordemoderforbunds kongres |
|---|---|
| Location | Göteborg |
| Country/Territory | Sweden |
| City | Göteborg |
| Period | 12/05/16 → 14/05/16 |
| Internet address |
Keywords
- health, nutrition and quality of life