ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2011
Missed opportunities for diabetes prevention: post-pregnancy follow-up of women with gestational diabetes mellitus in England.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Women's views on screening for Type 2 diabetes after gestational diabetes: a systematic review, qualitative synthesis and recommendations for increasing uptake.Diabetic medicine : a journal of the British Diabetic Association · 2020Pooled it
- Quantification of the type 2 diabetes risk in women with gestational diabetes: a systematic review and meta-analysis of 95,750 women.Diabetologia · 2016Pooled it
- The forgotten risk? A systematic review of the effect of reminder systems for postpartum screening for type 2 diabetes in women with previous gestational diabetes.BMC research notes · 2015Pooled it
- Continued Disparities in Postpartum Follow-Up and Screening Among Women With Gestational Diabetes and Hypertensive Disorders of Pregnancy: A Systematic Review.The Journal of perinatal & neonatal nursingPooled it
- Metabolic syndrome in Finnish women 7 years after a gestational diabetes prevention trial.BMJ open · 2017Trial
- The Impact of Preeclampsia and Gestational Diabetes on Future Maternal Cardiometabolic Health.Acta physiologica (Oxford, England) · 2025Review
- Implementing care for women with gestational diabetes after delivery-the challenges ahead.Frontiers in global women's health · 2024Review
- Follow-up and screening for type-2 diabetes mellitus in women with previous gestational diabetes in primary care.Scandinavian journal of primary health care · 2023Article
- Gestational diabetes mellitus follow-up in Norwegian primary health care: a qualitative study.BJGP open · 2022Article
- Postpartum opportunistic advice in primary care for women who have had gestational diabetes: a qualitative study of health care professionals' views.BMC family practice · 2021Article
- 'Oh, I've got an appointment': A qualitative interview study exploring how to support attendance at diabetes screening after gestational diabetes.Diabetic medicine : a journal of the British Diabetic Association · 2021Article
- Healthcare Professionals' Perspectives on the Cross-Sectoral Treatment Pathway for Women with Gestational Diabetes during and after Pregnancy-A Qualitative Study.Journal of clinical medicine · 2021Article
- Article
- Improving Uptake of Postnatal Checking of Blood Glucose in Women Who Had Gestational Diabetes Mellitus in Universal Healthcare Settings: A Systematic Review.Journal of clinical medicine · 2018Article
- Barriers to Postpartum Glucose Intolerance Screening in an Italian Population.International journal of environmental research and public health · 2018Article
- Postpartum glucose intolerance: an updated overview.Endocrine · 2018Review
- Low rates of postpartum glucose screening among indigenous and non-indigenous women in Australia with gestational diabetes.Maternal and child health journal · 2015Article
- Prevention of Diabetes after Gestational Diabetes: Better Translation of Nutrition and Lifestyle Messages Needed.Healthcare (Basel, Switzerland) · 2014Review
- Diabetes screening after gestational diabetes in England: a quantitative retrospective cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014Article
- Postpartum care for Aboriginal and non-Aboriginal women with Gestational Diabetes Mellitus across urban, rural and remote locations: a protocol for a cohort linkage study.SpringerPlus · 2013Article
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Funding
Abstract
backgroundWomen with gestational diabetes mellitus (GDM) should be followed-up to exclude ongoing diabetes and for prevention of type 2 diabetes. The National Institute for Health and Clinical Excellence (NICE) diabetes in pregnancy guideline recommends checking fasting plasma glucose (FPG) at 6 weeks postpartum (short term), and annually thereafter (long term).
aimTo examine the reported practice regarding GDM follow-up. DESIGN AND
settingNationwide postal survey in England 2008-2009.
methodQuestionnaires were distributed to a consultant diabetologist and obstetrician in all maternity units, and to a random sample of general practices (approximately 1 in 5).
resultsResponse rates were: 60% (915/1532) GPs, 93% (342/368) specialists; 80% of GPs and 98% of specialists reported women with GDM had short-term follow-up. More GPs (55%) than specialists (13%) used a FPG test to exclude ongoing diabetes; 26% of GPs versus 89% of specialists thought the hospital was responsible for ordering the test. Twenty per cent of GPs had difficulty in discovering women had been diagnosed with GDM in secondary care. Seventy-three per cent of specialists recommended long-term follow-up; only 39% of GPs recalled women with GDM for this. A minority of GPs and specialists had joint follow-up protocols.
conclusionFollow-up of GDM in England diverged from national guidance. Despite consensus that short-term follow-up occurred, primary and secondary care doctors disagreed about the tests and responsibility for follow-up. There was lack of long-term follow-up. Agreement about the NICE guideline, its promotion and effective implementation by primary and secondary care, and the systematic recall of women with GDM for long-term follow-up is required.
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