Gestational diabetes & diabetes in pregnancy

Efficacy of a phone reminder to improve adherence to post-partum glucose tolerance testing after gestational diabetes and clinical predictors of post-partum follow-up compliance

Diabetes Res Clin PractPublished Retrospective study

Authors' conclusion

The phone reminder improved post-partum follow-up adherence. Pre-pregnancy BMI, number of OGTT alterations and type of therapy could identify poorly adherent women.

Study context

Population
Women with gestational diabetes mellitus (GDM)
Participants
543 women
Exposure
Phone reminder vs no reminder
  • Phone remindern = 297
  • Not alertedn = 246reference
Outcome
Adherence rate to post-partum oral glucose tolerance test (OGTT)
Follow-up
Post-partum

Main finding

As reported in the abstract

Adherence to post-partum OGTT

P < 0.001

Observational data: associations, not effects.

Further findings

Less compliant vs More compliant

Pre-pregnancy BMI, less vs more compliant women · higher BMI in less compliant

P = 0.03

Obese vs Non-obese

Adherence by pre-pregnancy obesity · lower in obese

P < 0.05

One alteration vs Multiple alterations

Adherence by number of OGTT alterations in pregnancy · lower with one alteration

P < 0.05

Non-insulin treated vs Insulin-treated

Adherence by insulin treatment · lower in non-insulin treated

P < 0.001

Original publication

Efficacy of a phone reminder to improve adherence to post-partum glucose tolerance testing after gestational diabetes and clinical predictors of post-partum follow-up compliance. Diabetes Res Clin Pract. Published 2 April 2024. doi:10.1016/j.diabres.2024.111653

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