title: Factors related to prediabetes among postpartum Thai women with a history of gestational diabetes mellitus.
abstract: Women with a history of gestational diabetes mellitus are at risk of developing prediabetes. Using a cross-sectional analytic design, the factors related to prediabetes among Thai women (n = 210) with a history of gestational diabetes mellitus were investigated. The main outcomes measured were two-hour plasma glucose after taking a 75 g oral glucose tolerance test at a six week postpartum visit. Data were analyzed using descriptive statistics and Pearson's correlation. The study showed that the incidence of prediabetes among postpartum Thai women was 26.67%. Factors associated with prediabetes were: (i) being over 35 years of age; (ii) three or more pregnancies; (iii) recurrent gestational diabetes mellitus; (iv) high plasma glucose before taking a 100 g glucose tolerance test and high postprandial plasma glucose during pregnancy; and (v) being overweight or obese at six weeks' postpartum. The results showed that nursing interventions need to be implemented to reduce plasma glucose and body mass index in order to prevent or reverse prediabetes.
authors.affiliation: Department of Obstetric Nursing and Midwifery, Prince of Songkla University, Hat Yai, Songkhla, Thailand.
authors.forename: Sununta
authors.initials: S
authors.lastname: Youngwanichsetha
authors.forename: Sasitorn
authors.initials: S
authors.lastname: Phumdoung
mesh_terms: D000328:Adult; D001786:Blood Glucose / Q000032:analysis / Q000378:metabolism; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D016640:Diabetes, Gestational / Q000097:blood / Q000175:diagnosis / Q000453:epidemiology*; D005260:Female; D018149:Glucose Intolerance / Q000097:blood / Q000175:diagnosis / Q000453:epidemiology*; D005951:Glucose Tolerance Test / Q000379:methods*; D038321:Glycemic Index; D006801:Humans; D015994:Incidence; D008487:Medical History Taking; D008875:Middle Aged; D017063:Outcome Assessment, Health Care / Q000379:methods; D010349:Patient Compliance / Q000706:statistics & numerical data; D049590:Postpartum Period / Q000502:physiology*; D011236:Prediabetic State / Q000097:blood / Q000175:diagnosis / Q000453:epidemiology*; D011247:Pregnancy; D012307:Risk Factors; D062606:Tertiary Care Centers; D013785:Thailand / Q000453:epidemiology; D055815:Young Adult
chemical_list: D001786:Blood Glucose
keywords: Thai women; gestational diabetes mellitus; postpartum women; prediabetes