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Missed opportunities for type 2 diabetes mellitus screening among women with a history of gestational diabetes mellitus.
Kim, Catherine; Tabaei, Bahman P; Burke, Ray; McEwen, Laura N; Lash, Robert W; Johnson, Susan L; Schwartz, Kendra L; Bernstein, Steven J; Herman, William H.
Afiliación
  • Kim C; Division of General Internal Medicine, Department of Medicine, University of Michigan, Ann Arbor, USA. cathkim@umich.edu
Am J Public Health ; 96(9): 1643-8, 2006 Sep.
Article en En | MEDLINE | ID: mdl-16873752
ABSTRACT

OBJECTIVES:

We sought to determine rates and factors associated with screening for type 2 diabetes mellitus (DM) in women with a history of gestational diabetes mellitus.

METHODS:

We retrospectively studied women with diagnosed gestational diabetes mellitus who delivered at a university-affiliated hospital (n=570). Data sources included medical and administrative record review. Main outcome measures were the frequency of any type of glucose testing at least 6 weeks after delivery and the frequency of recommended glucose testing. We assessed demographic data, past medical history, and prenatal and postpartum care characteristics.

RESULTS:

Rates of glucose testing after delivery were low. Any type of glucose testing was performed at least once after 38% of deliveries, and recommended glucose testing was performed at least once after 23% of deliveries. Among women with at least 1 visit to the health care system after delivery (n=447), 42% received any type of glucose test at least once, and 35% received a recommended glucose test at least once. Factors associated with testing were being married, having a visit with an endocrinologist after delivery, and having more visits after delivery.

CONCLUSIONS:

These findings suggest that most women with gestational diabetes mellitus are not screened for type 2 DM after delivery. Opportunities for DM prevention and early treatment are being missed.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tamizaje Masivo / Diabetes Gestacional / Diabetes Mellitus Tipo 2 / Prueba de Tolerancia a la Glucosa Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Límite: Adult / Female / Humans / Pregnancy Idioma: En Revista: Am J Public Health Año: 2006 Tipo del documento: Article País de afiliación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tamizaje Masivo / Diabetes Gestacional / Diabetes Mellitus Tipo 2 / Prueba de Tolerancia a la Glucosa Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Límite: Adult / Female / Humans / Pregnancy Idioma: En Revista: Am J Public Health Año: 2006 Tipo del documento: Article País de afiliación: Estados Unidos