Missed Opportunities for Type 2 Diabetes Mellitus Screening Among Women With a History of Gestational Diabetes Mellitus

Bibliographic Data

ID11020342
AuthorsCatherine Kim (0000-0001-9237-0532, Catherine Kim and Steven J. Bernstein are with the Division of General Internal Medicine, Department of Medicine, University of Michigan, Ann Arbor; Catherine Kim is also with the Department of Obstetrics and Gynecology, University of Michigan, and Steven J. Bernstein is also with the Center for Practice Management and Outcomes Research, VA Ann Arbor Healthcare System, Ann Arbor. Bahman P. Tabaei, Ray Burke, Laura N. McEwen, Robert W. Lash, Susan L. Johnson, and William H. Herman are with the Division of...), Bahman P Tabaei (0000-0001-6779-1044, Catherine Kim and Steven J. Bernstein are with the Division of General Internal Medicine, Department of Medicine, University of Michigan, Ann Arbor; Catherine Kim is also with the Department of Obstetrics and Gynecology, University of Michigan, and Steven J. Bernstein is also with the Center for Practice Management and Outcomes Research, VA Ann Arbor Healthcare System, Ann Arbor. Bahman P. Tabaei, Ray Burke, Laura N. McEwen, Robert W. Lash, Susan L. Johnson, and William H. Herman are with the Division of...), Ray Burke (Catherine Kim and Steven J. Bernstein are with the Division of General Internal Medicine, Department of Medicine, University of Michigan, Ann Arbor; Catherine Kim is also with the Department of Obstetrics and Gynecology, University of Michigan, and Steven J. Bernstein is also with the Center for Practice Management and Outcomes Research, VA Ann Arbor Healthcare System, Ann Arbor. Bahman P. Tabaei, Ray Burke, Laura N. McEwen, Robert W. Lash, Susan L. Johnson, and William H. Herman are with the Division of...), Laura N McEwen (0000-0002-1737-1161, Catherine Kim and Steven J. Bernstein are with the Division of General Internal Medicine, Department of Medicine, University of Michigan, Ann Arbor; Catherine Kim is also with the Department of Obstetrics and Gynecology, University of Michigan, and Steven J. Bernstein is also with the Center for Practice Management and Outcomes Research, VA Ann Arbor Healthcare System, Ann Arbor. Bahman P. Tabaei, Ray Burke, Laura N. McEwen, Robert W. Lash, Susan L. Johnson, and William H. Herman are with the Division of...), Robert W Lash (0000-0003-2457-4888, Catherine Kim and Steven J. Bernstein are with the Division of General Internal Medicine, Department of Medicine, University of Michigan, Ann Arbor; Catherine Kim is also with the Department of Obstetrics and Gynecology, University of Michigan, and Steven J. Bernstein is also with the Center for Practice Management and Outcomes Research, VA Ann Arbor Healthcare System, Ann Arbor. Bahman P. Tabaei, Ray Burke, Laura N. McEwen, Robert W. Lash, Susan L. Johnson, and William H. Herman are with the Division of...), Susan L Johnson (0000-0002-2804-9477, Catherine Kim and Steven J. Bernstein are with the Division of General Internal Medicine, Department of Medicine, University of Michigan, Ann Arbor; Catherine Kim is also with the Department of Obstetrics and Gynecology, University of Michigan, and Steven J. Bernstein is also with the Center for Practice Management and Outcomes Research, VA Ann Arbor Healthcare System, Ann Arbor. Bahman P. Tabaei, Ray Burke, Laura N. McEwen, Robert W. Lash, Susan L. Johnson, and William H. Herman are with the Division of...), Karen Schwartz (0000-0003-0219-9036, VA Ann Arbor Healthcare System), Kendra L Schwartz (Catherine Kim and Steven J. Bernstein are with the Division of General Internal Medicine, Department of Medicine, University of Michigan, Ann Arbor; Catherine Kim is also with the Department of Obstetrics and Gynecology, University of Michigan, and Steven J. Bernstein is also with the Center for Practice Management and Outcomes Research, VA Ann Arbor Healthcare System, Ann Arbor. Bahman P. Tabaei, Ray Burke, Laura N. McEwen, Robert W. Lash, Susan L. Johnson, and William H. Herman are with the Division of...), STEVEN J BERNSTEIN (0000-0003-3359-7168, Catherine Kim and Steven J. Bernstein are with the Division of General Internal Medicine, Department of Medicine, University of Michigan, Ann Arbor; Catherine Kim is also with the Department of Obstetrics and Gynecology, University of Michigan, and Steven J. Bernstein is also with the Center for Practice Management and Outcomes Research, VA Ann Arbor Healthcare System, Ann Arbor. Bahman P. Tabaei, Ray Burke, Laura N. McEwen, Robert W. Lash, Susan L. Johnson, and William H. Herman are with the Division of...), William H Herman (0000-0002-0502-674X, Catherine Kim and Steven J. Bernstein are with the Division of General Internal Medicine, Department of Medicine, University of Michigan, Ann Arbor; Catherine Kim is also with the Department of Obstetrics and Gynecology, University of Michigan, and Steven J. Bernstein is also with the Center for Practice Management and Outcomes Research, VA Ann Arbor Healthcare System, Ann Arbor. Bahman P. Tabaei, Ray Burke, Laura N. McEwen, Robert W. Lash, Susan L. Johnson, and William H. Herman are with the Division of...)
Year2006
Volume96
Issue9
Pages1643-1648
Publication date2006-09-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2005.065722
PMID16873752
PMCIDPMC1551944
OpenAlexW2164563864
LanguageEN
Citations received6
References cited12

Objectives. We sought to determine rates and factors associated with screening for type 2 diabetes mellitus (DM) in women with a history of gestational diabetes mellitus. Methods. We retrospectively studied women with diagnosed gestational diabetes mellitus who delivered at a university-affiliated hospital (n=570). Data sources included medical and administrative record review. Main outcome measures were the frequency of any type of glucose testing at least 6 weeks after delivery and the frequency of recommended glucose testing. We assessed demographic data, past medical history, and prenatal and postpartum care characteristics. Results. Rates of glucose testing after delivery were low. Any type of glucose testing was performed at least once after 38% of deliveries, and recommended glucose testing was performed at least once after 23% of deliveries. Among women with at least 1 visit to the health care system after delivery (n=447), 42% received any type of glucose test at least once, and 35% received a recommended glucose test at least once. Factors associated with testing were being married, having a visit with an endocrinologist after delivery, and having more visits after delivery. Conclusions. These findings suggest that most women with gestational diabetes mellitus are not screened for type 2 DM after delivery. Opportunities for DM prevention and early treatment are being missed

Diabetes mellitus · Environmental health · Family history · Gestation · Gestational diabetes · Glucose test · Glucose tolerance test · Insulin resistance · Medical history · Medical record · Obstetrics · Population · Pregnancy · Prenatal care · Type 2 Diabetes Mellitus · Diabetes, Cardiovascular Risks, and Lipoproteins · Endocrinology · Gestational Diabetes Research and Management · Internal Medicine · Medicine · Pregnancy and preeclampsia studies · Pediatrics