title: Recurrence of gestational diabetes mellitus.
abstract: OBJECTIVE
  To assess the influence of several maternal and neonatal variables on the recurrence of gestational diabetes mellitus.
  
  
  METHODS
  A retrospective review was conducted on 90 of our patients whose index pregnancy was complicated by gestational diabetes mellitus and whose subsequent pregnancy was also managed at our institution.
  
  
  RESULTS
  Forty-seven women (52%) had a recurrence of gestational diabetes mellitus in their subsequent pregnancy. These 47 women had an increased body mass index (BMI) (32.8 +/- 8.2 versus 28.9 +/- 7.2 kg/m2; P < .03) and more large for gestational age (LGA) neonates (38 versus 14%; P < .05) and more of them required insulin during their index pregnancy (38 versus 19%; P < .05) than did those who did not have a recurrence of gestational diabetes mellitus. Women who developed a recurrence of gestational diabetes mellitus also had higher fasting (P < .05), 1-hour, 2-hour, and total glucose tolerance test values (P < or = .01) during their index pregnancy.
  
  
  CONCLUSIONS
  Women with a history of gestational diabetes mellitus who have a BMI greater than 35 kg/m2, whose previous newborn was LGA, and who required insulin during their previous pregnancy are at increased risk for recurrence of gestational diabetes mellitus.
authors.affiliation: Department of Obstetrics and Gynecology, University of Alabama, Birmingham.
authors.forename: F L
authors.initials: FL
authors.lastname: Gaudier
authors.forename: J C
authors.initials: JC
authors.lastname: Hauth
authors.forename: M
authors.initials: M
authors.lastname: Poist
authors.forename: D
authors.initials: D
authors.lastname: Corbett
authors.forename: S P
authors.initials: SP
authors.lastname: Cliver
mesh_terms: D000328:Adult; D001786:Blood Glucose; D015992:Body Mass Index; D016640:Diabetes, Gestational / Q000097:blood / Q000453:epidemiology*; D005260:Female; D005951:Glucose Tolerance Test; D006801:Humans; D011247:Pregnancy; D012008:Recurrence; D012189:Retrospective Studies; D012307:Risk Factors
chemical_list: D001786:Blood Glucose