Postpartum glucose testing rates following gestational diabetes mellitus and factors affecting testing non-compliance from four tertiary centers in Korea

Geum-Joon Cho, Jung Joo An, Suk Joo Choi, Soo Young Oh, Han Sung Kwon, Soon Cheol Hong, Ja Young Kwon

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

The purpose of this study was to investigate postpartum glucose testing rates in patients with gestational diabetes mellitus (GDM) and to determine factors affecting testing noncompliance in the Korean population. This was a retrospective study of 1,686 patients with GDM from 4 tertiary centers in Korea and data were obtained from medical records. Postpartum glucose testing was conducted using a 2-hr 75-g oral glucose tolerance, fasting glucose, or hemoglobin A1C test. Test results were categorized as normal, prediabetic, and diabetic. The postpartum glucose testing rate was 44.9% (757/1,686 patients); and of 757 patients, 44.1% and 18.4% had pre-diabetes and diabetes, respectively. According to the multivariate analysis, patients with a high parity, larger weight gain during pregnancy, and referral from private clinics due to reasons other than GDM treatment were less likely to receive postpartum glucose testing. However, patients who had pharmacotherapy for GDM were more likely to be screened. In this study, 55.1% of patients with GDM failed to complete postpartum glucose testing. Considering the high prevalence of diabetes (18.4%) at postpartum, clinicians should emphasize the importance of postpartum diabetes screening to patients with factors affecting testing noncompliance.

Original languageEnglish
Pages (from-to)1841-1846
Number of pages6
JournalJournal of Korean Medical Science
Volume30
Issue number12
DOIs
Publication statusPublished - 2015

Keywords

  • Diabetes, gestational
  • Postpartum glucose screening
  • Referral

ASJC Scopus subject areas

  • Medicine(all)

Fingerprint Dive into the research topics of 'Postpartum glucose testing rates following gestational diabetes mellitus and factors affecting testing non-compliance from four tertiary centers in Korea'. Together they form a unique fingerprint.

  • Cite this