Gestational diabetes & diabetes in pregnancy
Postpartum uptake of diabetes screening tests in women with gestational diabetes: The PANDORA study
Authors' conclusion
Given very high rates of type 2 diabetes among Aboriginal and Torres Strait Islander women, early postpartum screening with the most feasible test should be prioritised to detect prediabetes and diabetes for intervention.
Study context
- Population
- Aboriginal and/or Torres Strait Islander and non-Indigenous women with gestational diabetes mellitus (GDM), recruited in pregnancywomen with GDM
- Participants
- 712 participants
- Exposure
- Aboriginal and/or Torres Strait Islander vs non-Indigenous women with GDM
- Outcome
- Postpartum diabetes screening rates (12 weeks: 75-g OGTT; 6, 12 and 18 months: OGTT, HbA1c or FPG)
Main finding
As reported in the abstract
Postpartum screening with an OGTT · 12 weeks and 6 months postpartum
- Oral glucose tolerance test (OGTT) screening by 12 weeks: Aboriginal and/or Torres Strait Islander vs non-Indigenous
- 18% vs. 30%
- OGTT screening by 6 months: Aboriginal and/or Torres Strait Islander vs non-Indigenous
- 23% vs. 37%
- Lower among Aboriginal and/or Torres Strait Islander women
- p < 0.001
Observational data: associations, not effects.
Further findings
Completed 6-month HbA1c · more likely with Aboriginal and/or Torres Strait Islander
P < 0.001
Screening with any test by 6 months postpartum
P = 0.304
Predictors of screening with any test by 6 months (Cox regression)
- Higher screening associated with insulin use in pregnancy, first pregnancy, not smoking and lower BMI
Original publication
Postpartum uptake of diabetes screening tests in women with gestational diabetes: The PANDORA study. Diabet Med. Published 21 November 2022. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →