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Postpartum Glucose Testing Rates Following Gestational Diabetes Mellitus and Factors Affecting Testing Non-compliance from Four Tertiary Centers in Korea

Authors
 Geum Joon Cho  ;  Jung-Joo An  ;  Suk-Joo Choi  ;  Soo-young Oh  ;  Han-Sung Kwon  ;  Soon-Cheol Hong  ;  Ja-Young Kwon 
Citation
 Journal of Korean Medical Science, Vol.30(12) : 1841-1846, 2015 
Journal Title
 Journal of Korean Medical Science 
ISSN
 1011-8934 
Issue Date
2015
Keywords
Broncopulmonary dysplasia ; Leukotriene antagonists ; Montelukast ; Pharmacokinetics ; Premature infant
Abstract
The purpose of this study was to investigate postpartum glucose testing rates in patients with gestational diabetes mellitus (GDM) and to determine factors affecting testing non-compliance in the Korean population. This was a retrospective study of 1,686 patients with GDM from 4 tertiary centers in Korea and data were obtained from medical records. Postpartum glucose testing was conducted using a 2-hr 75-g oral glucose tolerance, fasting glucose, or hemoglobin A1C test. Test results were categorized as normal, prediabetic, and diabetic. The postpartum glucose testing rate was 44.9% (757/1,686 patients); and of 757 patients, 44.1% and 18.4% had pre-diabetes and diabetes, respectively. According to the multivariate analysis, patients with a high parity, larger weight gain during pregnancy, and referral from private clinics due to reasons other than GDM treatment were less likely to receive postpartum glucose testing. However, patients who had pharmacotherapy for GDM were more likely to be screened. In this study, 55.1% of patients with GDM failed to complete postpartum glucose testing. Considering the high prevalence of diabetes (18.4%) at postpartum, clinicians should emphasize the importance of postpartum diabetes screening to patients with factors affecting testing noncompliance.
Files in This Item:
T201505105.pdf Download
DOI
10.3346/jkms.2015.30.12.1841
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers
Yonsei Authors
권자영(Kwon, Ja Young) ORCID logo https://orcid.org/0000-0003-3009-6325
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/157027
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