title: Clinical predictors for diabetes screening in the first year postpartum after gestational diabetes.
abstract: BACKGROUND
  Postpartum screening for diabetes in women with gestational diabetes (GDM) improves with use of reminder systems. Our primary objective was to identify predictors of diabetes screening in the first year after delivery.
  
  
  METHODS
  A retrospective study was performed of 556 women with GDM who received outpatient prenatal care between 2007 and 2009. A mailed reminder system was utilized at two sites. Rates of postpartum glucose testing at 6 and 12 months postpartum were measured.
  
  
  RESULTS
  Site of care and non-smoking status were identified as the only predictors of postpartum diabetes screening (p<0.001 and p = 0.02, respectively). Rates of OGTT completion at one year (38% vs. 19% p<0.001) were higher in women who attended clinics with postpartum reminders.
  
  
  CONCLUSIONS
  The site of diabetes care in pregnancy is a major predictor of adherence to diabetes screening postpartum. Health care delivery should be considered in the development of strategies to increase screening rates.
authors: Department of Medicine, The Ottawa Hospital and University of Ottawa, Ottawa, ON, Canada.
authors: Patricia
authors: P
authors: Peticca
authors: Institute for Clinical Evaluative Sciences, Toronto, ON, Canada; Department of Medicine, University of Toronto, Toronto, ON, Canada; Department of Medicine, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
authors: Baiju R
authors: BR
authors: Shah
authors: Department of Medicine, The Ottawa Hospital and University of Ottawa, Ottawa, ON, Canada; Department of Obstetrics and Gynecology, University of Toronto, Toronto, ON, Canada.
authors: Alison
authors: A
authors: Shea
authors: Department of Medicine, The Ottawa Hospital and University of Ottawa, Ottawa, ON, Canada; The Ottawa Hospital Research Institute, Ottawa, ON, Canada.
authors: Heather D
authors: HD
authors: Clark
authors: Department of Medicine, The Ottawa Hospital and University of Ottawa, Ottawa, ON, Canada.
authors: Janine C
authors: JC
authors: Malcolm
authors: The Ottawa Hospital Research Institute, Ottawa, ON, Canada; Department of Obstetrics and Gynecology, The Ottawa Hospital and University of Ottawa, Ottawa, ON, Canada.
authors: Mark
authors: M
authors: Walker
authors: Department of Medicine, The Ottawa Hospital and University of Ottawa, Ottawa, ON, Canada; Department of Obstetrics and Gynecology, The Ottawa Hospital and University of Ottawa, Ottawa, ON, Canada.
authors: Alan
authors: A
authors: Karovitch
authors: Department of Nutrition, The Ottawa Hospital, Ottawa, ON, Canada.
authors: Pauline
authors: P
authors: Brazeau-Gravelle
authors: Department of Medicine, The Ottawa Hospital and University of Ottawa, Ottawa, ON, Canada; The Ottawa Hospital Research Institute, Ottawa, ON, Canada; Department of Obstetrics and Gynecology, The Ottawa Hospital and University of Ottawa, Ottawa, ON, Canada.
authors: Erin J
authors: EJ
authors: Keely
keywords: Postpartum diabetes screening; gestational diabetes; predictors of testing; type 2 diabetes screening