Gestational diabetes & diabetes in pregnancy
The incidence and risk factors of postpartum diabetes in women from Bangladesh, India and Sri Lanka (South Asia) with prior gestational diabetes mellitus: Results from the LIVING study
Authors' conclusion
A high incidence of DM was found in women with prior GDM in South Asia, with significant variation between countries. Women from Bangladesh had a significantly higher pregnancy count, family history of DM and overweight/obese status, despite having significantly lower age, which could be responsible for their higher rates of DM.
Study context
- Population
- Women with prior gestational diabetes mellitus (GDM) (IADPSG criteria) from Bangladesh, India and Sri Lanka, with postpartum oral glucose tolerance test (OGTT); mean ± SD age 31.0 ± 5.0 years
- Participants
- 1,808 women
- Comparison
- Bangladesh vs Sri Lanka vs India
- Primary endpoint
- Incident DM (glycaemic category from OGTT, ADA criteria)
- Follow-up
- Median 1.82 years after childbirth
Methodological detailsLIVING study, multicentre, 19 centres in Bangladesh, India and Sri Lanka
- LIVING study
- Multicentre
- 19 centres in Bangladesh, India and Sri Lanka
Primary result
As reported in the abstract
Incident DM · between childbirth and last follow-up; median 1.82 years
Incident DM, women
310
17.1 %
Incidence
10.75/100 person years
Further findings
| Outcome | Bangladesh | Sri Lanka | India |
|---|---|---|---|
| Cumulative incidence of DM by country | 16.49/100 person years | 12.74/100 person years | 7.21/100 person years |
Cumulative incidence of DM by country
- Higher in Bangladesh than in Sri Lanka and India
Risk factors for incident DM
- Higher age, lower education, higher prior pregnancy count, prior GDM, family history of DM and postpartum overweight/obese status were significantly associated with incident DM
Original publication
The incidence and risk factors of postpartum diabetes in women from Bangladesh, India and Sri Lanka (South Asia) with prior gestational diabetes mellitus: Results from the LIVING study. Diabetes Res Clin Pract. Published 31 August 2023. doi:10. 1016/ j. diabres. 2023. 110893
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