Missed opportunities for type 2 diabetes mellitus screening among women with a history of gestational diabetes mellitus
Missed opportunities for type 2 diabetes mellitus screening among women with a history of gestational diabetes mellitus
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DOI：
10.2105/ajph.2005.065722
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发表时间：
2006-09-01
影响因子：
12.7
通讯作者：
Herman, William H.
中科院分区：
文献类型：
--
作者：
Kim, Catherine;Tabaei, Bahman P.;Herman, William H.
目标。我们试图确定与有妊娠糖尿病史的女性中 2 型糖尿病 (DM) 筛查相关的比率和因素。方法。我们回顾性研究了在大学附属医院分娩的被诊断为妊娠糖尿病的女性（n=570）。数据来源包括医疗和行政记录审查。主要结果指标是产后至少 6 周进行任何类型的血糖测试的频率以及推荐的血糖测试的频率。我们评估了人口统计数据、既往病史以及产前和产后护理特征。结果。产后血糖检测率较低。任何类型的葡萄糖测试在 38% 的分娩后至少进行一次，推荐的葡萄糖测试在 23% 的分娩后至少进行一次。在产后至少去过医疗保健系统 1 次的女性 (n = 447) 中，42% 至少接受过一次任何类型的血糖测试，35% 至少接受过一次推荐的血糖测试。与检测相关的因素包括已婚、产后去看内分泌科医生以及产后就诊次数增多。结论。这些发现表明，大多数患有妊娠期糖尿病的女性在分娩后并未接受 2 型糖尿病筛查。糖尿病预防和早期治疗的机会正在被错过。
Objectives. We sought to determine rates and factors associated with screening for type 2 diabetes mellitus (DM) in women with a history of gestational diabetes mellitus.Methods. We retrospectively studied women with diagnosed gestational diabetes mellitus who delivered at a university-affiliated hospital (n=570). Data sources included medical and administrative record review. Main outcome measures were the frequency of any type of glucose testing at least 6 weeks after delivery and the frequency of recommended glucose testing. We assessed demographic data, past medical history, and prenatal and postpartum care characteristics.Results. Rates of glucose testing after delivery were low. Any type of glucose testing was performed at least once after 38% of deliveries, and recommended glucose testing was performed at least once after 23% of deliveries. Among women with at least 1 visit to the health care system after delivery (n =447), 42% received any type of glucose test at least once, and 35% received a recommended glucose test at least once. Factors associated with testing were being married, having a visit with an endocrinologist after delivery, and having more visits after delivery.Conclusions. These findings suggest that most women with gestational diabetes mellitus are not screened for type 2 DM after delivery. Opportunities for DM prevention and early treatment are being missed.