Ohio Primary Health Care Providers’ Practices and Attitudes Regarding Screening Women With Prior Gestational Diabetes for Type 2 Diabetes Mellitus — 2010

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Rodgers, Loren ; Conrey, Elizabeth J. ; Wapner, Andrew ; Ko, Jean Y. ; Dietz, Patricia M. ; Oza-Frank, Reena
• Description:
  Introduction
  
  Gestational diabetes mellitus (GDM) is associated with a 7-fold increased lifetime risk for developing type 2 diabetes mellitus. Early diagnosis of type 2 diabetes is crucial for preventing complications. Despite recommendations for type 2 diabetes screening every 1 to 3 years for women with previous diagnoses of GDM and all women aged 45 years or older, screening prevalence is unknown. We sought to assess Ohio primary health care providers’ practices and attitudes regarding assessing GDM history and risk for progression to type 2 diabetes.
  
  Methods
  
  During 2010, we mailed surveys to 1,400 randomly selected Ohio family physicians and internal medicine physicians; we conducted analyses during 2011–2013. Overall responses were weighted to adjust for stratified sampling. Chi-square tests compared categorical variables.
  
  Results
  
  Overall response rate was 34% (380 eligible responses). Among all respondents, 57% reported that all new female patients in their practices are routinely asked about GDM history; 62% reported screening women aged 45 years or younger with prior GDM every 1 to 3 years for glucose intolerance; and 42% reported that screening for type 2 diabetes among women with prior GDM is a high or very high priority in their practice.
  
  Conclusion
  
  Because knowing a patient’s GDM history is the critical first step in the prevention of progression to type 2 diabetes for women who had GDM, suboptimal screening for both GDM history and subsequent glucose abnormalities demonstrates missed opportunities for identifying and counseling women with increased risk for type 2 diabetes.
  
  
• Subjects:
  Adult Diabetes, Gestational Diabetes Mellitus, Type 2 Female Glucose Intolerance Health Personnel Humans Original Research Pregnancy Risk Factors
• Source:
  Prev Chronic Dis. 11.
• DOI:
  http://dx.doi.org/10.5888/pcd11.140308
• ISSN:
  1545-1151
• Document Type:
  Journal Article
• Place as Subject:
  Ohio
• Location:
  North America
• Volume:
  11
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:d473f27c9906fede96acc0799442957ded51c514f67c2ad175aa35fc22ccb886397bcae8cf261530ac0a6bf70ee81d1c7d73d360729b7772ee645aa28fc196e9
• Download URL:
  https://stacks.cdc.gov/view/cdc/26402/cdc_26402_DS1.pdf
• File Type:
  [PDF - 307.13 KB ]