Postpregnancy Management
GDM is increasingly recognized as a general risk factor for the development of T2D. According to a systematic review of studies, up to 60% of women with GDM had progressed to T2D during 10 years of post-pregnancy follow-up.21 Although the majority of women with GDM will be normoglycemic in the immediate postpartum period, studies suggest that 11% to 33% will display evidence of impaired glucose tolerance, and 1% to 8% will have frank diabetes, at 6 to 12 weeks postdelivery.22 In many cases, these individuals likely had some degree of glucose intolerance, pre-diabetes or even undiagnosed T2D, that preceded the pregnancy, but their condition was not recognized until the postpartum screen. Even when postpartum glucose levels are within normal limits, women with a history of GDM are at much higher risk of developing GDM in subsequent pregnancies.
Postpregnancy Management
GDM is increasingly recognized as a general risk factor for the development of T2D. According to a systematic review of studies, up to 60% of women with GDM had progressed to T2D during 10 years of post-pregnancy follow-up.21 Although the majority of women with GDM will be normoglycemic in the immediate postpartum period, studies suggest that 11% to 33% will display evidence of impaired glucose tolerance, and 1% to 8% will have frank diabetes, at 6 to 12 weeks postdelivery.22 In many cases, these individuals likely had some degree of glucose intolerance, pre-diabetes or even undiagnosed T2D, that preceded the pregnancy, but their condition was not recognized until the postpartum screen. Even when postpartum glucose levels are within normal limits, women with a history of GDM are at much higher risk of developing GDM in subsequent pregnancies.
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