Is their a long term risk of developing type 2 diabetes following a pregnancy complicated by gestational diabetes (GDM)?

From: Diabetes Care

Journal rating:
rating: 99%
Study Quality:
rating: 55%
%

Overall Reliability

Article Quality:
rating: 5%
Partcipants
rating: 50%

Participants/situation

  • 5,470 patients with gestational diabetes and 783 control subjects

Study

  • A study of participants who presented for postnatal follow-up between 1971 and 2003.

Results

  • Risk of developing diabetes increased with time for both groups and was 9.6 times greater for patients with GDM.
  • The cumulative risk of developing type 2 diabetes for the GDM patients was 25.8% at 15 years post-diagnosis.
  • Predictive factors for the development of type 2 diabetes were use of insulin (hazard ratio x3.5), Asian origin compared with Caucasian (x2.1), and 1-h blood glucose (x1.3 for every 1 mmol increase above 10.1 mmol).
  • BMI was associated with an increased risk of developing type 2 diabetes.

Answer

  • Yes (with confidence)

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