Prediabetes Often Goes Undiagnosed in Women With History of Gestational Diabetes

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More health visits in the previous year is linked to increased likelihood for receiving diabetes screening.
More health visits in the previous year is linked to increased likelihood for receiving diabetes screening.

HealthDay News -- For women with a history of gestational diabetes, having more health visits in the previous year is associated with receiving diabetes screening, according to a study published in the September 8 issue of the Centers for Disease Control and Prevention's Preventing Chronic Disease.

Bernice Man, MD, from the University of Illinois at Chicago, and colleagues identified 284 women with a history of gestational diabetes who were eligible for diabetes screening using data from 3 cycles of the National Health and Nutrition Examination Survey.

The researchers found that 67% of the women with a history of gestational diabetes reported diabetes screening within the previous 3 years. Screened women differed from unscreened women in terms of measured BMI category (P=.01) and the number of health visits in the previous year (P=.001), in bivariate analyses. 

In multivariate analysis, screening correlated with a greater number of health visits in the previous year (adjusted odds ratios, 1.91 [95% CI, 0.71- 5.18], 7.05, and 5.83 for 1, 2 or 3, and 4 or more visits, respectively, compared with no visits). Overall, 24.4% and 6.5% of women had undiagnosed prediabetes and undiagnosed diabetes, respectively.

"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," the researchers wrote. "Prediabetes in women with a history of gestational diabetes may be underrecognized and inadequately treated."

Reference

  1. Man B, Turyk ME, Kominiarek MA, Xia Y, Gerber BS. Diabetes screening in US women with a history of gestational diabetes, National Health and Nutrition Examination Survey, 2007–2012. Prev Chronic Dis. 2016;13:160106. doi:10.5888/pcd13.160106.
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