Postpartum uptake of diabetes screening tests in women with gestational diabetes: The PANDORA study.
Anna J Wood; I-Lynn Lee; Elizabeth L M Barr; Federica Barzi; Jacqueline A Boyle; Christine Connors; Elizabeth Moore; Jeremy J N Oats; Harold D McIntyre; Angela Titmuss; Alison Simmonds; Paul Z Zimmet; Alex D H Brown; Sumaria Corpus; Jonathan E Shaw; Louise J Maple-Brown;
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).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 ] or fasting plasma glucose) were assessed for women with GDM (n = 712). Associations between antenatal factors and screening with any test (OGTT, HbA , fasting plasma glucose) by 6 months postpartum were examined using Cox proportional hazards regression.1CPostpartum 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 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.1CGiven 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.
Journal | DIABETIC MEDICINE : A JOURNAL OF THE BRITISH DIABETIC ASSOCIATION |
ISSN | 1464-5491 |
Published | 01 Mar 2023 |
Volume | 40 |
Issue | 3 |
Pages | e14999 e14999 |
DOI | 10.1111/dme.14999 |
Type | Journal Article | Research Support, Non-U.S. Gov't |
Sponsorship | NHMRC: 1092968; NHMRC: 1173952 |