E-ISSN: 1309-0380
    Incidence of diabetes mellitus at postpartum six to twelve months following the diagnosis of gestational diabetes mellitus
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    Original Investigation
    VOLUME: 11 ISSUE: 2
    P: 89-94
    June 2010

    Incidence of diabetes mellitus at postpartum six to twelve months following the diagnosis of gestational diabetes mellitus

    J Turk Ger Gynecol Assoc 2010;11(2):89-94
    DOI: 10.5152/jtgga.2010.06
    Özlem Seçilmis Kerimoglu 1
    Serdar Yalvaç 1
    Deniz Karçaaltinçaba 1
    Ömer Kandemir 2
    1. Etlik Zu¨Beyde Hanim Women’S Health Teaching Hospital, Ankara, Turkey
    2. Department Of Maternal-Fetal Medicine, Ankara, Etlik, Maternity And Women’S Health Teaching Hospital, Ankara, Turkey
    No information available.
    No information available
    Received Date: 20.02.2010
    Accepted Date: 11.04.2010
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    ABSTRACT

    Objective:

    The aim of this study was to research the rates of diabetes mellitus (DM) and the risk factors that may play a role in the prediction of this condition by evaluating patients with the diagnosis of gestational diabetes mellitus (GDM) at the 6th-12th postpartum months.

    Material and Method:

    Among 109 cases who had been invited to the hospital for oral glucose tolerance test (OGTT) at the 6th-12th postpartum months, 84 cases (77%) were enrolled in the study. To the 78 patients that were found to be appropriate according to the study criteria, 75 gr OGTT was administered. Patients who had new pregnancies during the period of postpartum screening, and those with previously diagnosed DM were excluded from the study.

    Results:

    While the results of 23 cases (29.5%) included in the study were normal, 27 cases (34.6%) were diagnosed with DM and 28 cases (35.9%) were diagnosed as having an impaired glucose tolerance and /or impaired fasting glucose (IGT/IFG). Among patients diagnosed with DM, the history of DM in the first degree relatives (n=21, 77.8%, p=0.018), body mass index before pregnancy (mean=30.1±4.4, p=0.009) and insulin requirement for the treatment of GDM (n=25, 92.6%, p<0.05) were determined at higher rates. In the logistic regression analysis, multiparity (OR=2) and insulin requirement during pregnancy (OR: 7.27) were found to be the predictive factors in the development of postpartum DM.

    Discussion:

    In this study, the determination of high rates of DM development in the postpartum period after GDM demonstrates the necessity of augmentation in efforts to increase the screening rates after delivery and to increase the patients’ acknowledgement of this topic.

    Keywords: Gestasyonel diyabetes mellitus, postpartum, OGTT

    References

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