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Early screening for type 2 diabetes following gestational diabetes mellitus in France: hardly any impact of the 2010 guidelines
- Source :
- Acta Diabetologica, Acta Diabetologica, 2017, 54 (7), pp.645-651. ⟨10.1007/s00592-017-0986-x⟩, Acta Diabetologica, Springer Verlag, 2017, 54 (7), pp.645-651. 〈https://link.springer.com/article/10.1007%2Fs00592-017-0986-x〉. 〈10.1007/s00592-017-0986-x〉, Acta Diabetologica, Springer Verlag, 2017, 54 (7), pp.645-651. ⟨10.1007/s00592-017-0986-x⟩
- Publication Year :
- 2017
- Publisher :
- Springer Science and Business Media LLC, 2017.
-
Abstract
- IF 3.340; International audience; AIMS:Women who had gestational diabetes mellitus (GDM) have a high risk of type 2 diabetes mellitus (T2DM) in the years following pregnancy. Most follow-up screening studies have been conducted in limited geographical areas leading to large variability in the results. The aim of our investigation was to measure how the publication of guidelines affected early screening for T2DM after a pregnancy with GDM during the period 2007-2013, in France.METHODS:We conducted a retrospective cohort study in a representative sample of 1/97th of the French population using data from the "National Health Insurance Inter-Regime Information System," which collects individual hospital and non-hospital data for healthcare consumption.RESULTS:The sample included 49,080 women who gave birth in 2007-2013. In the following 3 months, only 18.49% of women with GDM had an oral glucose tolerance test or a blood glucose test in 2007. This rate had not significantly increased in 2013 (p = 0.18). The proportion of women with GDM who had the recommended glycemic follow-up at 3 months (20.30 vs. 21.58%, p = 0.19) and 6 months (32.48 vs. 37.16%, p = 0.08) was not significantly different before the guidelines (2008-2009) and after the guidelines (2012-2013). At 12 months, the difference was significant (46.77 vs. 54.05%, p = 0.009).CONCLUSION:Postpartum screening has improved only slightly since the guidelines and remains largely insufficient, with less than 25% of women with GDM screened in the first 3 months. In the first year after delivery, less than 60% of women were screened for T2DM.
- Subjects :
- endocrine system diseases
Endocrinology, Diabetes and Metabolism
Type 2 diabetes
Gestational diabetes mellitus
Glucose test
0302 clinical medicine
Endocrinology
Pregnancy
Mass Screening
030212 general & internal medicine
education.field_of_study
medicine.diagnostic_test
Obstetrics
Postpartum Period
General Medicine
[ SDV.MHEP.EM ] Life Sciences [q-bio]/Human health and pathology/Endocrinology and metabolism
[SDV.MHEP.EM]Life Sciences [q-bio]/Human health and pathology/Endocrinology and metabolism
3. Good health
Gestational diabetes
Practice Guidelines as Topic
Screening
Female
France
Adult
medicine.medical_specialty
Population
030209 endocrinology & metabolism
Guidelines
03 medical and health sciences
Internal medicine
Type 2 diabetes mellitus
Internal Medicine
medicine
Humans
education
Mass screening
Retrospective Studies
business.industry
nutritional and metabolic diseases
Type 2 Diabetes Mellitus
Glucose Tolerance Test
medicine.disease
Diabetes, Gestational
Early Diagnosis
Diabetes Mellitus, Type 2
business
Postpartum period
Follow-Up Studies
Subjects
Details
- ISSN :
- 14325233 and 09405429
- Volume :
- 54
- Database :
- OpenAIRE
- Journal :
- Acta Diabetologica
- Accession number :
- edsair.doi.dedup.....da813f6a63898a3cbe6b4d22851349f6