ArticleBMJ open diabetes research & care2016
Lost opportunities to prevent early onset type 2 diabetes mellitus after a pregnancy complicated by gestational diabetes.
Article in BMJ open diabetes research & care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.
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The trial behind it
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Who cites it
29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 55 citations in OpenAlex.
- Barriers to and enablers of postpartum health behaviours among women from diverse cultural backgrounds with prior gestational diabetes: A systematic review and qualitative synthesis applying the theoretical domains framework.Diabetic medicine : a journal of the British Diabetic Association · 2022Pooled 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
- 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
- Postpartum diabetes screening for women with gestational diabetes in Japan: an administrative database study.BMJ open · 2025Article
- Beyond one size fits all: Probing patient choices in gestational diabetes management, from screening to postpartum.Chronic diseases and translational medicine · 2025Review
- Primary Care for Gestational Diabetes: A Bibliometric Analysis of Publications from 1991 to 2024.International journal of environmental research and public health · 2024Article
- Perceptions of Chinese women with a history of gestational diabetes regarding health behaviors and related factors: a directed qualitative content analysis.BMC public health · 2024Article
- Puerperium experience and lifestyle in women with gestational diabetes mellitus and overweight/obesity in China: A qualitative study.Frontiers in psychology · 2023Article
- Understanding Gestational Diabetes, Future Diabetes Risk, and Diabetes Prevention: A Qualitative Study of Patient, Provider, and Staff Perspectives.Clinical diabetes : a publication of the American Diabetes Association · 2022Article
- Barriers and facilitators to diabetes screening and prevention after a pregnancy complicated by gestational diabetes.PloS one · 2022Article
- Letter to the editor of implementation science in response to "Implementation Science in maternity care, A scoping Review" by Dadich, Piper, and Coates (2021).Implementation science : IS · 2021Article
- Identification of a novel association for the WWOX/HIF1A axis with gestational diabetes mellitus (GDM).PeerJ · 2021Article
- Early postpartum dyslipidemia and its potential predictors during pregnancy in women with a history of gestational diabetes mellitus.Lipids in health and disease · 2020Article
- Patterns of Postpartum Ambulatory Care Follow-up Care Among Women With Hypertensive Disorders of Pregnancy.Journal of the American Heart Association · 2020Article
- Towards a better understanding of risk selection in maternal and newborn care: A systematic scoping review.PloS one · 2020Article
- HIV Care Continuum among Postpartum Women Living with HIV in Atlanta.Infectious diseases in obstetrics and gynecology · 2019Article
- Barriers to Postpartum Glucose Intolerance Screening in an Italian Population.International journal of environmental research and public health · 2018Article
- Clinical Implications of the NICE 2015 Criteria for Gestational Diabetes Mellitus.Journal of clinical medicine · 2018Article
- Onset of T2DM after gestational diabetes: What the prevention paradox tells us about risk.Preventive medicine · 2018Article
- Health Care Providers' Perceptions of Responsibilities and Resources to Reduce Type 2 Diabetes Risk After Gestational Diabetes Mellitus.Clinical diabetes : a publication of the American Diabetes Association · 2018Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
objectivesGestational diabetes mellitus (GDM) greatly increases the risk of developing diabetes in the decade after delivery, but few women receive appropriately timed postpartum glucose testing (PPGT) or a referral to primary care (PC) for continued monitoring. This qualitative study was designed to identify barriers and facilitators to testing and referral from patient and providers' perspectives.
methodsWe interviewed patients and clinicians in depth about knowledge, values, priorities, challenges, and recommendations for increasing PPGT rates and PC linkage. Interviews were coded with NVIVO data analysis software, and analyzed using an implementation science framework.
resultsWomen reported motivation to address GDM for the health of the fetus. Most women did not anticipate future diabetes for themselves, and focused on delivery outcomes rather than future health risks. Patients sought and received reassurance from clinicians, and were unlikely to discuss early onset following GDM or preventive measures. PPGT barriers described by patients included provider not mentioning the test or setting it up, transportation difficulties, work responsibilities, fatigue, concerns about fasting while breastfeeding, and timing of the test after discharge from obstetrics, and no referral to PC for follow-up. Practitioners described limited communication among multiple care providers during pregnancy and delivery, systems issues, and separation of obstetrics from PC.
conclusionsPatients' barriers to PPGT included low motivation for self-care, structural obstacles, and competing priorities. Providers reported the need to balance risk with reassurance, and identified systems failures related to test timing, limitations of electronic medical record systems (EMR), lack of referrals to PC, and inadequate communication between specialties. Prevention of early onset has great potential for medical cost savings and improvements in quality of life.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.