Diabetes Screening in US Women With a History of Gestational Diabetes, National Health and Nutrition Examination Survey, 2007–2012

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Man, Bernice ; Turyk, Mary E. ; Kominiarek, Michelle A. ; Xia, Yinglin ; Gerber, Ben S.
• Description:
  Introduction ; Women with a history of gestational diabetes mellitus (GDM) are at increased risk for developing type 2 diabetes mellitus. We examined individual, socioeconomic, and health care use characteristics of women with a history of GDM and the association of those characteristics with diabetes screening, and we estimated their rates of undiagnosed prediabetes and diabetes. ; Methods ; Using 3 cycles of the National Health and Nutrition Examination Survey (2007–2008, 2009–2010, and 2011–2012), we identified 284 women with a history of GDM who were eligible for diabetes screening. Screening status was defined by self-report of having had a blood test for diabetes within the prior 3 years. Undiagnosed prediabetes and diabetes were assessed by hemoglobin A1c measurement. ; Results ; Among women with a history of GDM, 67% reported diabetes screening within the prior 3 years. Weighted bivariate analyses showed screened women differed from unscreened women in measured body mass index (BMI) category (P = .01) and number of health visits in the prior year (P = .001). In multivariable analysis, screening was associated with a greater number of health visits in the prior year (1 visit vs 0 visits, adjusted odds ratio AOR, 1.91; 95% confidence interval CI, 0.71–5.18; 2 or 3 visits, AOR, 7.05; and ≥4 visits, AOR, 5.83). Overall, 24.4% (95% CI, 18.3%–31.7%) of women had undiagnosed prediabetes and 6.5% (95% CI, 3.7%–11.3%) had undiagnosed diabetes. ; Conclusion ; More health visits in the prior year was associated with receiving diabetes screening. Fewer opportunities for screening may delay early detection, clinical management, and prevention of diabetes. Prediabetes in women with a history of GDM may be underrecognized and inadequately treated.
• Subjects:
  • Body Mass Index
  • Diabetes Mellitus, Type 2/diagnosis
  • Diabetes, Gestational/diagnosis
  • Female
  • Glycated Hemoglobin
  • Humans
  • Logistic Models
  • Mass Screening
  • Middle Aged
  • Multivariate Analysis
  More +
• Source:
  Prev Chronic Dis. 13.
• DOI:
  http://dx.doi.org/10.5888/pcd13.160106
• ISSN:
  1545-1151
• Pubmed ID:
  27609302
• Pubmed Central ID:
  PMC5027851
• Document Type:
  Journal Article
• Funding:
  UL1 TR000050/TR/NCATS NIH HHS/United States
• Corporate as Subject:
  National Health and Nutrition Examination Survey (U.S.) ; National Health and Nutrition Examination Survey (U.S.)
• Place as Subject:
  United States
• Volume:
  13
• Download URL:
  https://stacks.cdc.gov/view/cdc/42556/cdc_42556_DS1.pdf
• File Type:
  [PDF - 373.72 KB]
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:25083e023529143b14ba024d91b7c2e9171f5bccc58bac0dbca02b54fac3410b6993c05468b48705de9dafca9e96e21fa36e805479402131392f8ed8ca030f08