In:
Diabetic Medicine, Wiley, Vol. 40, No. 3 ( 2023-03)
Abstract:
To determine rates and predictors of postpartum diabetes screening among Aboriginal and/or Torres Strait Islander and non‐Indigenous women with gestational diabetes mellitus (GDM). Methods PANDORA is a prospective longitudinal cohort of women recruited in pregnancy. Postpartum diabetes screening rates at 12 weeks (75‐g 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.
Type of Medium:
Online Resource
ISSN:
0742-3071
,
1464-5491
Language:
English
Publisher:
Wiley
Publication Date:
2023
detail.hit.zdb_id:
2019647-7