Gestational diabetes & diabetes in pregnancy

Receipt of postpartum diabetes screening after gestational diabetes mellitus in the United States, 2016–2022

Diabet MedPublished Cross-sectional study

Authors' conclusion

While postpartum diabetes screening has increased and aligns with recognized risk factors, overall prevalence remains suboptimal.

Study context

Population
Postpartum individuals with self-reported gestational diabetes mellitus (GDM) who attended a postpartum checkup and reported on postpartum diabetes screening, Pregnancy Risk Assessment Monitoring System (PRAMS) 2016–2022, 44 U.S. states and jurisdictions
Participants
21,559 individuals
Outcome
Prevalence of postpartum diabetes screening after GDM
Methodological detailspopulation-based, multivariable modified Poisson regression
  • Population-based
  • Multivariable modified Poisson regression

Main finding

As reported in the abstract

Overall weighted prevalence of postpartum diabetes screening · 2016-2022

Overall weighted prevalence of postpartum diabetes screening

55.8%

95% CI 54.8–56.9

Observational data: associations, not effects.

Further findings

Annual screening prevalence

2016
55.6%
2019
60.3%
2020 (onset of COVID-19 pandemic)
52.6%
2022
55.8%

Factors associated with higher screening prevalence

Screening prevalence higher among individuals ≥30 years, racial or ethnic minoritized groups, did not graduate from high school, public prenatal health insurance, pre-pregnancy overweight or obesity, adequate plus prenatal care
6%-38% higher

Factors associated with lower screening prevalence

Screening prevalence lower among individuals with a previous live birth, preterm birth, residents of rural areas, the South or U.S. Territories
5%-14% lower

Original publication

Receipt of postpartum diabetes screening after gestational diabetes mellitus in the United States, 2016–2022. Diabet Med. Published 10 April 2026. doi:10.1111/dme.70327

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