title: Postpartum diabetes screening: adherence rate and the performance of fasting plasma glucose versus oral glucose tolerance test.
abstract: OBJECTIVE
  To determine the rate of adherence to postpartum glycemic testing in women with gestational diabetes mellitus (GDM) and the performance of fasting plasma glucose (FPG) versus the 75-g oral glucose tolerance test (OGTT) in detecting postpartum glucose intolerance.
  
  
  METHODS
  The study was a retrospective cohort of 1,006 women with GDM attending a pregnancy diabetes clinic.
  
  
  RESULTS
  Postpartum screening was completed in 438 (48%) women. Women nonadherent to testing had higher parity (1.10 vs. 0.87) and were less likely to require insulin for management of their GDM. Among women who were tested, 89 (21%) had an abnormal result, only 25 (28%) of whom were identified by FPG. Factors associated with abnormal postpartum diabetes screening include non-Caucasian ethnicity, previous GDM, higher A1C, and OGTT values during pregnancy and treatment with insulin.
  
  
  CONCLUSIONS
  The rate of postpartum diabetes screening is low, and FPG lacks sensitivity as a screening test in comparison with OGTT.
authors.affiliation: Division of Endocrinology and Metabolism, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada.
authors.forename: Sarah
authors.initials: S
authors.lastname: Kwong
authors.forename: Rebecca S
authors.initials: RS
authors.lastname: Mitchell
authors.forename: Peter A
authors.initials: PA
authors.lastname: Senior
authors.forename: Constance L
authors.initials: CL
authors.lastname: Chik
mesh_terms: D000328:Adult; D001786:Blood Glucose / Q000032:analysis*; D015331:Cohort Studies; D003920:Diabetes Mellitus / Q000097:blood / Q000175:diagnosis* / Q000453:epidemiology*; D016640:Diabetes, Gestational / Q000453:epidemiology; D005006:Ethnicity; D005215:Fasting; D005260:Female; D005951:Glucose Tolerance Test; D006801:Humans; D008487:Medical History Taking; D010349:Patient Compliance / Q000706:statistics & numerical data*; D049590:Postpartum Period / Q000502:physiology*; D011247:Pregnancy; D011644:Puerperal Disorders / Q000097:blood / Q000175:diagnosis / Q000453:epidemiology*; D012189:Retrospective Studies
chemical_list: D001786:Blood Glucose