title: Glucose intolerance in early postpartum in women with gestational diabetes: Who is at increased risk?
abstract: Women with a history of gestational diabetes (GDM) have an increased risk for developing type 2 diabetes in the years after the index pregnancy. Some women with GDM already develop glucose intolerance in early postpartum. The best screening strategy for glucose intolerance in early postpartum among women with a history of GDM is still debated. We review the most important risk factors of women with GDM to develop glucose intolerance within one year postpartum. We also discuss the current recommendations for screening in early postpartum and the many challenges to organize postpartum follow up in primary care.
authors.affiliation: Department of Endocrinology, UZ Gasthuisberg, KU Leuven, Herestraat 49, 3000 Leuven, Belgium.
authors.forename: Liesbeth
authors.initials: L
authors.lastname: Leuridan
authors.affiliation: Department of Primary and Interdisciplinary Care, Centre for General Practice/Family Medicine, University of Antwerp, Universiteitsplein 1, 2610 Wilrijk, Belgium.
authors.forename: Johan
authors.initials: J
authors.lastname: Wens
authors.affiliation: Department of Gynecology, UZ Gasthuisberg, KU Leuven, Herestraat 49, 3000 Leuven, Belgium.
authors.forename: Roland
authors.initials: R
authors.lastname: Devlieger
authors.affiliation: Department of Gynecology, UZ Gasthuisberg, KU Leuven, Herestraat 49, 3000 Leuven, Belgium.
authors.forename: Johan
authors.initials: J
authors.lastname: Verhaeghe
authors.affiliation: Department of Endocrinology, UZ Gasthuisberg, KU Leuven, Herestraat 49, 3000 Leuven, Belgium.
authors.forename: Chantal
authors.initials: C
authors.lastname: Mathieu
authors.affiliation: Department of Endocrinology, UZ Gasthuisberg, KU Leuven, Herestraat 49, 3000 Leuven, Belgium. Electronic address: katrien.benhalima@uzleuven.be.
authors.forename: Katrien
authors.initials: K
authors.lastname: Benhalima
mesh_terms: D015415:Biomarkers / Q000097:blood; D001786:Blood Glucose / Q000378:metabolism*; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control; D016640:Diabetes, Gestational / Q000097:blood* / Q000175:diagnosis; D005260:Female; D018149:Glucose Intolerance / Q000097:blood / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D018743:Perinatal Care; D049590:Postpartum Period; D011247:Pregnancy; D011379:Prognosis; D018570:Risk Assessment; D012307:Risk Factors
chemical_list: D015415:Biomarkers; D001786:Blood Glucose
keywords: Early postpartum; Gestational diabetes; Glucose intolerance; Risk factors; Screening