Gestational diabetes & diabetes in pregnancy

One‐year postpartum weight retention and glucose intolerance in women with prediabetes after gestational diabetes

Diabet MedPublished Secondary analysis of the MELINDA randomised controlled trial

Authors' conclusion

In women with a previous history of GDM and prediabetes in early postpartum, PPWR in early postpartum was a strong independent predictor for late PPWR, while earlier start of insulin therapy during pregnancy and delivery by caesarean section were independent predictors of glucose intolerance in late postpartum.

Study context

Population
Women with prediabetes at the 6–16 weeks postpartum OGTT after a recent history of GDM
Participants
167 women
Comparison
PPWR vs no PPWR at 1-year postpartum
  • PPWRn = 75
Primary endpoint
Risk factors for PPWR and glucose intolerance (prediabetes + diabetes)
Follow-up
1-year postpartum
Methodological detailsexploratory analysis
  • Exploratory analysis

Primary result

As reported in the abstract

PPWR >0 kg
45% (75)
Only independent predictor of late PPWR: weight retention in early postpartum
p < 0.001
Glucose intolerance (84 prediabetes, 8 diabetes)
55.1% (92)

Further findings

Gestational weight gain · higher with PPWR

P < 0.001

Metabolic syndrome

P = 0.003

BMI and metabolic profile (waist circumference, lipids, insulin resistance), early and late postpartum

Higher BMI with PPWR
P < 0.01
Worse metabolic profile with PPWR
all p < 0.05

Original publication

One‐year postpartum weight retention and glucose intolerance in women with prediabetes after gestational diabetes. Diabet Med. Published 3 July 2024. doi:10.1111/dme.15400

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