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  • Title: [Prevalence of postpartum impaired glucose tolerance after gestational diabetes].
    Author: Romero Gutiérrez G, Macias Rocha AL, Puente Alvarez EI.
    Journal: Ginecol Obstet Mex; 2012 Oct; 80(10):631-6. PubMed ID: 23240225.
    Abstract:
    BACKGROUND: gestational diabetes mellitus (GDM) affects 2 to 10% of pregnancies and it has been postulated as a variant of type 2 diabetes mellitus (DM2) because they share a similar pathophysioiogy. Approximately in 90% the carbohydrate intolerance resolves after pregnancy, however after 5 to 16 years after delivery women will have a risk of 17 to 63% to the development of type 2 diabetes mellitus. OBJECTIVE: to determine the frequency of postpartum impaired glucose tolerance in women with previous GDM. MATERIAL AND METHODS: 125 patients with diagnosis of GMD were included, general data were captured, type of control during pregnancy and complications occurred. The women were instructed to undergo a postpartum oral glucose tolerance test of 75 g and 2 h, 6 weeks after their delivery date and they were classified into five groups: normal patients, type 2 diabetes mellitus, impaired glucose tolerance, impaired fasting glucose and combined both. RESULTS: after follow up 13 women (10.4%) were diagnosed as DM2; 14 patients (11.2%) were classified as glucose intolerance; 16 (12.8%) were catalogued with impaired fasting glucose; 6 (4.8%) had both disorders; and 76 (60.8%) were diagnosed as healthy women. CONCLUSIONS: the detection with a postpartum oral glucose tolerance test is necessary for the identification of the various types of disorders of the carbohydrate metabolism including DM2.
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