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Postpartum glucose follow-up and lifestyle management after gestational diabetes mellitus: general practitioner and patient perspectives

BACKGROUND: Incidence of type 2 diabetes is high after gestational diabetes mellitus (GDM). We aimed to evaluate the adherence to follow-up six-weeks postpartum visits in secondary care after GDM and glucose monitoring in primary care longer than 12–14 months after delivery and the years thereafter....

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Autores principales: Koning, Sarah H., Lutgers, Helen L., Hoogenberg, Klaas, Trompert, Chris A., van den Berg, Paul P., Wolffenbuttel, Bruce H. R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5142132/
https://www.ncbi.nlm.nih.gov/pubmed/27981042
http://dx.doi.org/10.1186/s40200-016-0282-2
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author Koning, Sarah H.
Lutgers, Helen L.
Hoogenberg, Klaas
Trompert, Chris A.
van den Berg, Paul P.
Wolffenbuttel, Bruce H. R.
author_facet Koning, Sarah H.
Lutgers, Helen L.
Hoogenberg, Klaas
Trompert, Chris A.
van den Berg, Paul P.
Wolffenbuttel, Bruce H. R.
author_sort Koning, Sarah H.
collection PubMed
description BACKGROUND: Incidence of type 2 diabetes is high after gestational diabetes mellitus (GDM). We aimed to evaluate the adherence to follow-up six-weeks postpartum visits in secondary care after GDM and glucose monitoring in primary care longer than 12–14 months after delivery and the years thereafter. In addition, we examined the women’s lifestyle after delivery. METHODS: A cross-sectional follow-up survey among women with a history of GDM and their general practitioners (GP). Rates of attendance at the six-weeks postpartum visit and glucose testing were obtained from hospital records, over the period 2011–2012. Rates of annual follow-up postpartum glucose testing were assessed by a survey among their GP’s. Lifestyle of the women on diet and exercise was assessed by questionnaire in 2015. RESULTS: In total 197 women were eligible for the study. Of these, 156 (79%) attended the six-weeks postpartum visit at the diabetes outpatient clinic and in 145 (93%) of these women glucose testing was performed. In total 77 (39%) women responded to the invitation to participate in this study and filled in the lifestyle questionnaire. About one third of the women met the recommendations for sufficient physical activity. A majority of them did not fulfil the Dutch guidelines on healthy diet – fruit intake 35.1%, vegetables intake 7.8%. Of the 74 invited GP’s, 61 responded (82%), only 12 (20%) reported that they had performed a follow-up glucose testing within >12–14 months postpartum. Of these women, five were tested only in the first year of follow-up, five also in the second year, and two were tested for three consecutive years. CONCLUSIONS: Despite the high attendance rate of six-weeks postpartum visit and glucose testing, we observed low rates of longer-term follow-up regarding postpartum glucose testing. Moreover, we found a suboptimal adherence to healthy lifestyle for women with a history of GDM.
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spelling pubmed-51421322016-12-15 Postpartum glucose follow-up and lifestyle management after gestational diabetes mellitus: general practitioner and patient perspectives Koning, Sarah H. Lutgers, Helen L. Hoogenberg, Klaas Trompert, Chris A. van den Berg, Paul P. Wolffenbuttel, Bruce H. R. J Diabetes Metab Disord Research Article BACKGROUND: Incidence of type 2 diabetes is high after gestational diabetes mellitus (GDM). We aimed to evaluate the adherence to follow-up six-weeks postpartum visits in secondary care after GDM and glucose monitoring in primary care longer than 12–14 months after delivery and the years thereafter. In addition, we examined the women’s lifestyle after delivery. METHODS: A cross-sectional follow-up survey among women with a history of GDM and their general practitioners (GP). Rates of attendance at the six-weeks postpartum visit and glucose testing were obtained from hospital records, over the period 2011–2012. Rates of annual follow-up postpartum glucose testing were assessed by a survey among their GP’s. Lifestyle of the women on diet and exercise was assessed by questionnaire in 2015. RESULTS: In total 197 women were eligible for the study. Of these, 156 (79%) attended the six-weeks postpartum visit at the diabetes outpatient clinic and in 145 (93%) of these women glucose testing was performed. In total 77 (39%) women responded to the invitation to participate in this study and filled in the lifestyle questionnaire. About one third of the women met the recommendations for sufficient physical activity. A majority of them did not fulfil the Dutch guidelines on healthy diet – fruit intake 35.1%, vegetables intake 7.8%. Of the 74 invited GP’s, 61 responded (82%), only 12 (20%) reported that they had performed a follow-up glucose testing within >12–14 months postpartum. Of these women, five were tested only in the first year of follow-up, five also in the second year, and two were tested for three consecutive years. CONCLUSIONS: Despite the high attendance rate of six-weeks postpartum visit and glucose testing, we observed low rates of longer-term follow-up regarding postpartum glucose testing. Moreover, we found a suboptimal adherence to healthy lifestyle for women with a history of GDM. BioMed Central 2016-12-07 /pmc/articles/PMC5142132/ /pubmed/27981042 http://dx.doi.org/10.1186/s40200-016-0282-2 Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Koning, Sarah H.
Lutgers, Helen L.
Hoogenberg, Klaas
Trompert, Chris A.
van den Berg, Paul P.
Wolffenbuttel, Bruce H. R.
Postpartum glucose follow-up and lifestyle management after gestational diabetes mellitus: general practitioner and patient perspectives
title Postpartum glucose follow-up and lifestyle management after gestational diabetes mellitus: general practitioner and patient perspectives
title_full Postpartum glucose follow-up and lifestyle management after gestational diabetes mellitus: general practitioner and patient perspectives
title_fullStr Postpartum glucose follow-up and lifestyle management after gestational diabetes mellitus: general practitioner and patient perspectives
title_full_unstemmed Postpartum glucose follow-up and lifestyle management after gestational diabetes mellitus: general practitioner and patient perspectives
title_short Postpartum glucose follow-up and lifestyle management after gestational diabetes mellitus: general practitioner and patient perspectives
title_sort postpartum glucose follow-up and lifestyle management after gestational diabetes mellitus: general practitioner and patient perspectives
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5142132/
https://www.ncbi.nlm.nih.gov/pubmed/27981042
http://dx.doi.org/10.1186/s40200-016-0282-2
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