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Postpartum Glucose Testing Rates Following Gestational Diabetes Mellitus and Factors Affecting Testing Non-compliance from Four Tertiary Centers in Korea

Authors
Cho, Geum JoonAn, Jung-JooChoi, Suk-JooOh, Soo-youngKwon, Han-SungHong, Soon-CheolKwon, Ja-Young
Issue Date
12월-2015
Publisher
KOREAN ACAD MEDICAL SCIENCES
Keywords
Diabetes, Gestational; Postpartum Glucose Screening; Referral
Citation
JOURNAL OF KOREAN MEDICAL SCIENCE, v.30, no.12, pp.1841 - 1846
Indexed
SCIE
SCOPUS
KCI
Journal Title
JOURNAL OF KOREAN MEDICAL SCIENCE
Volume
30
Number
12
Start Page
1841
End Page
1846
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/91749
DOI
10.3346/jkms.2015.30.12.1841
ISSN
1011-8934
Abstract
The purpose of this study was to investigate postpartum glucose testing rates in patients with gestational diabetes mellitus (GDM) and to determine factors affecting testing non-compliance in the Korean population. This was a retrospective study of 1,686 patients with GDM from 4 tertiary centers in Korea and data were obtained from medical records. Postpartum glucose testing was conducted using a 2-hr 75-g oral glucose tolerance, fasting glucose, or hemoglobin A1C test. Test results were categorized as normal, prediabetic, and diabetic. The postpartum glucose testing rate was 44.9% (757/1,686 patients); and of 757 patients, 44.1% and 18.4% had pre-diabetes and diabetes, respectively. According to the multivariate analysis, patients with a high parity, larger weight gain during pregnancy, and referral from private clinics due to reasons other than GDM treatment were less likely to receive postpartum glucose testing. However, patients who had pharmacotherapy for GDM were more likely to be screened. In this study, 55.1% of patients with GDM failed to complete postpartum glucose testing. Considering the high prevalence of diabetes (18.4%) at postpartum, clinicians should emphasize the importance of postpartum diabetes screening to patients with factors affecting testing noncompliance.
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