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Postpartum screening for diabetes in women diagnosed with gestational diabetes mellitus: A re-audit

Practical Diabetes Oct 28, 2019

Uzoh OT, et al. - Experts undertook a retrospective audit looking at postpartum screening for diabetes in 147 women diagnosed with gestational diabetes mellitus (GDM) who delivered during the year August 2017 to July 2018 in order to alter the practice by asking women to do an HbA1c test following 13 weeks, instead of the usual 6–13-week fasting blood glucose test, to make telephone-call notices to those mothers who had not gone through their blood test by four to six months following delivery and following this action plan, to re-audit postpartum screening for diabetes in women who had GDM. According to the results, 106 patients had postpartum screening for diabetes. Thus, at the appropriate time, 83 patients underwent their screening test, of which eight results indicated high diabetes risk (prediabetes) and two results indicated diabetes. This report indicates that while there is room for improvement in women who have had GDM, there has been a significantly increased take-up of postpartum diabetes screening. This was due to a change in practice that the authors hope will provide a stimulus for change in other centres and, most importantly, help with diabetes prevention and reporting of incidence after GDM.
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