Gestational diabetes secondary prevention: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
No edit summary |
||
| Line 1: | Line 1: | ||
__NOTOC__ | __NOTOC__ | ||
{{Gestational diabetes}} | {{Gestational diabetes}} | ||
{{CMG}} | {{CMG}};{{AE}}{{MehdiP}} | ||
{{ | |||
==Overview== | ==Overview== | ||
After delivery, mothers who diagnosed with GDM, should have close follow up to prevent overt diabetes in future. Testing with 75 g OGTT 6 to 12 weeks after delivery and then every 1-3 years is recommended for early diagnosis. | |||
==Secondary Prevention== | ==Secondary Prevention== | ||
*The OGTT is recommended over A1C at the 6 to 12 week postpartum visit because A1C may be persistently impacted (lowered) by the increased red blood cell turnover related to pregnancy or blood loss at delivery. | |||
*Because GDM is associated with increased maternal risk for diabetes, women should also be tested every 1–3 years thereafter if 6 to 12 week 75-g OGTT is normal, with frequency of screening depending on other risk factors including family history, prepregnancy BMI and need for insulin or oral glucose lowering medication during pregnancy. | |||
*Ongoing screening may be performed with any recommended glycemic test (e.g., hemoglobin A1C, fasting plasma glucose, or 75-g OGTT using nonpregnant thresholds).<ref name="pmid12351492">{{cite journal |vauthors=Kim C, Newton KM, Knopp RH |title=Gestational diabetes and the incidence of type 2 diabetes: a systematic review |journal=Diabetes Care |volume=25 |issue=10 |pages=1862–8 |year=2002 |pmid=12351492 |doi= |url=}}</ref> | |||
==References== | ==References== | ||
Revision as of 21:22, 6 December 2016
|
Gestational diabetes Microchapters |
|
Complications |
|
Diagnosis |
|
Treatment |
|
Case Studies |
|
Gestational diabetes secondary prevention On the Web |
|
American Roentgen Ray Society Images of Gestational diabetes secondary prevention |
|
Risk calculators and risk factors for Gestational diabetes secondary prevention |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]
Overview
After delivery, mothers who diagnosed with GDM, should have close follow up to prevent overt diabetes in future. Testing with 75 g OGTT 6 to 12 weeks after delivery and then every 1-3 years is recommended for early diagnosis.
Secondary Prevention
- The OGTT is recommended over A1C at the 6 to 12 week postpartum visit because A1C may be persistently impacted (lowered) by the increased red blood cell turnover related to pregnancy or blood loss at delivery.
- Because GDM is associated with increased maternal risk for diabetes, women should also be tested every 1–3 years thereafter if 6 to 12 week 75-g OGTT is normal, with frequency of screening depending on other risk factors including family history, prepregnancy BMI and need for insulin or oral glucose lowering medication during pregnancy.
- Ongoing screening may be performed with any recommended glycemic test (e.g., hemoglobin A1C, fasting plasma glucose, or 75-g OGTT using nonpregnant thresholds).[1]