Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Man, Bernice ; Turyk, Mary E. ; Kominiarek, Michelle A. ; Xia, Yinglin ; Gerber, Ben S.
Man, Bernice ; Turyk, Mary E. ; Kominiarek, Michelle A. ; Xia, Yinglin ; Gerber, Ben S. Less -
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, Gestational/diagnosis Diabetes Mellitus, Type 2/diagnosis Female Glycated Hemoglobin Humans Logistic Models Mass Screening Middle Aged Multivariate Analysis Nutrition Surveys Odds Ratio Prediabetic State/diagnosis Pregnancy Risk Factors Young Adult
Source:
Prev Chronic Dis. 13.
Pubmed ID:
27609302
Pubmed Central ID:
PMC5027851
Document Type:
Journal Article
Funding:
UL1 TR000050/TR/NCATS NIH HHS/United States
Name as Subject:
National Health and Nutrition Examination Survey (U.S.)
Place as Subject:
United States
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:bc33abab62f3c50b0aee482bbcc60362daeba2d22f957914093df2d102d6b75b
Download URL:
https://stacks.cdc.gov/view/cdc/42556/cdc_42556_DS1.pdf
File Type:

Supporting Files

• 	PCD-13-E124.nxml	bin
  	PCD-13-E124s01.gif	gif
  	PCD-13-E124s01.jpg	jpeg

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