Response to Lie et al. Preventing Type 2 diabetes after gestational diabetes: Women's experiences and implications for diabetes prevention interventions

摘要

First, there was poor response to post-partum screening. The uptake was 70% approximately 6 weeks after delivery and 30% at 1 year thereafter. The post-partum screening rate is reported to be low even in other parts of world, varying from 14% in usual care to 60% in a randomized controlled study [2]. In a randomized controlled trial by Clark et al. in 234 women with gestational diabetes, postal reminders were sent to physicians and patients 6 weeks to 1 year after delivery. In the group where no postal reminder was sent, the response rate was only 14.3%. The response rate was 55.3 and 51.6% in the groups where postal reminders were sent to patients and doctors, respectively. Where both patient as well as doctor received the postal reminders, the response rate was 60.5% [3]. The trial by Clark et al. has highlighted the importance of reminders to both patients and their physicians.