Patterns of Postpartum Primary Care Follow-up and Diabetes-Related Care After Diagnosis of Gestational Diabetes
Authors' conclusion
In this cohort study of postpartum individuals, individuals with GD had lower rates of primary care and diabetes-related care compared with those with preexisting type 2 diabetes, and only 36% of those with GD received guideline-recommended blood glucose testing in the first 12 weeks post partum. This illustrates a missed opportunity for early intervention in diabetes surveillance and prevention and demonstrates the need to develop a multidisciplinary approach for postpartum follow-up.
Study context
- Population
- Postpartum individuals aged 15 to 51 years who delivered 2015–2018 with continuous insurance enrollment from 180 days before to 366 days after delivery
- Participants
- 280,131 individuals
- Exposure
- Gestational diabetes (GD) vs preexisting T2D vs no diabetes diagnosis
- GDn = 18,432
- Type 2 diabetesn = 12,242reference
- Outcome
- Primary care follow-up visits and diabetes-related care (blood glucose testing and diabetes-associated visit diagnoses)
- Follow-up
- First year post partum
Methodological detailsprivate insurance claims database, Data analyzed September through October 2021 and reanalyzed November 2022
- Private insurance claims database
- Data analyzed September through October 2021 and reanalyzed November 2022
Main finding
As reported in the abstract
Primary care follow-up
Observational data: associations, not effects.
Further findings
| Outcome | GD | Type 2 diabetes |
|---|---|---|
| Diabetes-related care · first year post partum | 36.2% (CI 35.1%–37.4%) | 56.9% (CI 55.7%–58.0%) |
- Guideline-concordant blood glucose testing within 12 weeks post partum, GD connected with primary care
- 36.0% · CI 34.4%–37.6%
Original publication
Patterns of Postpartum Primary Care Follow-up and Diabetes-Related Care After Diagnosis of Gestational Diabetes. JAMA Netw Open. Published 1 February 2023. doi:10.
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