Only less than one fourth women with gestational diabetes receive type 2 diabetes screening: Study
Only less than one fourth women with gestational diabetes receive type 2 diabetes screening, according to a latest study published in the Primary Care Diabetes.
A study was conducted to estimate rates and identify determinants of post-partum glucose screening attendance in women with a history of gestational diabetes mellitus (GDM).
Retrospective cohort study using the Clinical Practice Research Datalink linked to Hospital Episode Statistics, to identify women diagnosed with GDM between 01/01/2000 and 05/11/2018. Age adjusted odds ratios (aOR) and 95% confidence intervals (CI) were estimated using multivariable logistic regression models.
The Results of the study are:
- In 10,868 women with GDM, with an average follow-up of 5.38 years (95% CI 5.31,5.45), there was an average of 3.79 (95% CI 3.70,3.89) screening episodes per individual, with a mean time to first screening test of 1.22 (95% CI 1.18, 1.25) years.
- South Asian women had a significantly greater likelihood of being screened compared to White women within the first 5 years post-partum, aOR: 1.89 95% CI (1.20,2.98).
- A low proportion of women received at least one test per year of follow-up (23.87%).
- Older age at GDM diagnosis, polycystic ovary syndrome, prescribed medication for GDM, and living in England, were all associated with a greater likelihood of being screened.
Thus, while the majority of women with previous GDM receive at least one glucose screening test within the first 5 years post-partum, fewer than a quarter of them receive on average one test per year of follow-up. Developing strategies to motivate more women to attend screening in primary care is essential.
Reference:
Screening for type 2 diabetes after a diagnosis of gestational diabetes by ethnicity: A retrospective cohort study by Elpida Vounzoulaki et al. published in the Primary Care Diabetes.
DOI: 10.1016/j.pcd.2022.03.008
Keywords:
Screening, type 2 diabetes, diagnosis, gestational diabetes, ethnicity, Elpida Vounzoulaki, Kamlesh Khunti, Joanne K Miksza, Bee K Tan, Melanie J Davies, Clare L Gillies, Primary Care Diabetes, Gestational diabetes mellitus; Primary health care; Screening; Type 2 diabetes mellitus; United Kingdom
Disclaimer: This website is primarily for healthcare professionals. The content here does not replace medical advice and should not be used as medical, diagnostic, endorsement, treatment, or prescription advice. Medical science evolves rapidly, and we strive to keep our information current. If you find any discrepancies, please contact us at corrections@medicaldialogues.in. Read our Correction Policy here. Nothing here should be used as a substitute for medical advice, diagnosis, or treatment. We do not endorse any healthcare advice that contradicts a physician's guidance. Use of this site is subject to our Terms of Use, Privacy Policy, and Advertisement Policy. For more details, read our Full Disclaimer here.
NOTE: Join us in combating medical misinformation. If you encounter a questionable health, medical, or medical education claim, email us at factcheck@medicaldialogues.in for evaluation.