Title
Postpartum uptake of diabetes screening tests in women with gestational diabetes: the PANDORA study.
Link to article in PubMed
Author(s)
Lee IL
Barr ELM
Barzi F
Boyle JA
Moore E
Oats JJN
McIntyre HD
Simmonds A
Zimmet PZ
Brown ADH
Shaw JE
Abstract
AIMS: To determine rates and predictors of postpartum diabetes screening among Aboriginal and/or Torres Strait Islander and non-Indigenous women with gestational diabetes (GDM). METHODS: PANDORA is a prospective longitudinal cohort of women recruited in pregnancy. Postpartum diabetes screening rates at 12 weeks (75-gram oral glucose tolerance test (OGTT)) and 6, 12 and 18 months (OGTT, glycated haemoglobin (HbA(1C) ) or fasting plasma glucose) were assessed for women with GDM (n=712). Associations between antenatal factors and screening with any test (OGTT, HbA(1C) , fasting plasma glucose) by 6 months postpartum were examined using Cox proportional hazards regression. RESULTS: Postpartum screening rates with an OGTT by 12 weeks and 6 months postpartum were lower among Aboriginal and/or Torres Strait Islander women than non-Indigenous women (18% vs. 30% at 12 weeks, and 23% vs. 37% at 6 months, p<0.001). Aboriginal and/or Torres Strait Islander women were more likely to have completed a 6 month HbA(1C) compared to non-Indigenous women (16% vs. 2%, p<0.001). Screening by 6 months postpartum with any test was 41% for Aboriginal and/or Torres Strait Islander women and 45% for non-Indigenous women (p=0.304). Characteristics associated with higher screening rates with any test by 6 months postpartum included, insulin use in pregnancy, first pregnancy, not smoking and lower BMI. CONCLUSIONS: Given very high rates of type 2 diabetes among Aboriginal and Torres Strait Islander women, early postpartum screening with the most feasible test should be prioritised to detect prediabetes and diabetes for intervention.
Publication information
Diabet Med . 2023 Mar;40(3):e14999. doi: 10.1111/dme.14999. Epub 2022 Nov 21.
Date Issued
2022-11-07
Type
Journal Article
Journal Title
Diabetic medicine : a journal of the British Diabetic Association
Permanent link to this record
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