Reasons that women and providers miss or find opportunities to screen for type 2 diabetes mellitus following gestational diabetes mellitus.

摘要

Gestational diabetes (GDM) affects 2% to 10% of all pregnancies in the United States, and women who have had GDM have a 35% to 60% chance of developing type 2 diabetes mellitus (T2DM) within the next 10 to 20 years.1 In 2007, the Fifth International Workgroup on Gestational Diabetes Mellitus recommended that women with GDM be screened with a 75-g oral glucose tolerance test at or soon after their 6-week post-partum visits.2 The American College of Obstetricians and Gynecologists reaffirmed this recommendation in 2009.3 Several studies have shown that many women do not return for postpartum examinations and even fewer receive follow-up screening for T2DM as recommended