IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i21p13946-d954535.html
   My bibliography  Save this article

Gestational Diabetes Mellitus in a Multi-Ethnic, High-Risk Population: Adequacy of Screening for Diabetes Mellitus 6 Weeks after Delivery

Author

Listed:
  • Mukesh M. Agarwal

    (Department of Pathology, Faculty of Medicine, California University of Science and Medicine, Colton, CA 92324, USA)

  • Madan Lal

    (Department of Obstetrics and Gynecology, Saint Luke’s General Hospital, R95 FY71 Kilkenny, Ireland)

  • Chintan D. Vyas

    (Department of Medicine, Burjeel Medical Center, Al Ain P.O. Box 103500, United Arab Emirates)

Abstract

Gestational diabetes mellitus (GDM) during pregnancy is a marker for future type 2 diabetes mellitus (T2DM); therefore, a meticulous follow-up after delivery can help identify women at risk for T2DM. In a cohort of 5504 pregnant women, the postpartum follow-up of all 1043 women with GDM for hyperglycemia in a multi-ethnic, high-risk Arab population was investigated. The prevalence of GDM was 18.9%. A total of 265 (25.4%) women returned for an oral glucose tolerance test (OGTT) 4–6 weeks after delivery, with more South Asian than Arab women ( p < 0.01). The other factors associated with return were (a) family history of T2DM, (b) lower basic metabolic index, (c) higher abortions and (d) lower gravida ( p < 0.05), all with minimal effect. An abnormal postpartum OGTT was statistically associated with previous GDM history and hypoglycemic drug treatment, although these effects were small. Overall, the follow-up of women with GDM postpartum was dismal, ethnicity being the major factor influencing return. Urgent public measures are needed to educate women with GDM about follow-up highlighting (a) risk awareness for T2DM and (b) a healthy lifestyle after childbirth—if we are to turn the tide on the epidemic of T2DM plaguing the Arab world.

Suggested Citation

  • Mukesh M. Agarwal & Madan Lal & Chintan D. Vyas, 2022. "Gestational Diabetes Mellitus in a Multi-Ethnic, High-Risk Population: Adequacy of Screening for Diabetes Mellitus 6 Weeks after Delivery," IJERPH, MDPI, vol. 19(21), pages 1-9, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:21:p:13946-:d:954535
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/21/13946/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/21/13946/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Mukesh M. Agarwal, 2020. "Gestational Diabetes in the Arab Gulf Countries: Sitting on a Land-Mine," IJERPH, MDPI, vol. 17(24), pages 1-14, December.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Dominik Franciszek Dłuski & Monika Ruszała & Gracjan Rudziński & Kinga Pożarowska & Kinga Brzuszkiewicz & Bożena Leszczyńska-Gorzelak, 2022. "Evolution of Gestational Diabetes Mellitus across Continents in 21st Century," IJERPH, MDPI, vol. 19(23), pages 1-32, November.
    2. Maryam M. Bashir & Luai A. Ahmed & Meera R. Alshamsi & Sara Almahrooqi & Taif Alyammahi & Shooq A. Alshehhi & Waad I. Alhammadi & Hind A. Alhosani & Fatima H. Alhammadi & Rami H. Al-Rifai & Fatma Al-M, 2022. "Gestational Diabetes Mellitus: A Cross-Sectional Survey of Its Knowledge and Associated Factors among United Arab Emirates University Students," IJERPH, MDPI, vol. 19(14), pages 1-13, July.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:21:p:13946-:d:954535. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.