Perspect Nurs Sci.  2016 Apr;13(1):17-28. 10.16952/pns.2016.13.1.17.

Patterns of Diagnosis and Risk Factors for Type 2 Diabetes in Women with a History of Gestational Diabetes Mellitus

• Choi MJ
• Chung CW

• KMID: 2315721
• DOI: http://doi.org/10.16952/pns.2016.13.1.17

Abstract

PURPOSE
This study aimed to identify patterns of diagnosis and to explore risk factors for type 2 diabetes beyond the postpartum period in women with a previous history of gestational diabetes, and to identify differences in such risk factors between early and late-onset (aged <45 and≥45).
METHODS
Using epidemiological data from the Korean Genome and Epidemiology Study, a retrospective analysis of 175 women with various timings of type 2 diabetes diagnosis was performed.
RESULTS
The average age (42.6±10.6) at type 2 diabetes diagnosis was earlier than the general population, and obesity was prevalent with marked weight gains around 35 years old. Longer duration of breastfeeding was observed in women with late-onset of type 2 diabetes.
CONCLUSION
For prevention of type 2 diabetes, early intervention is required, and modifiable factors such as weight control and breastfeeding should be taken into consideration for intervention strategies.

Keyword

Diabetes gestational; Diabetes mellitus type 2; Risk factors; Retrospective studies; Prevention and control

MeSH Terms

Breast Feeding
Diabetes, Gestational*
Diagnosis*
Early Intervention (Education)
Epidemiology
Female
Genome
Humans
Obesity
Postpartum Period
Pregnancy
Retrospective Studies
Risk Factors*
Weight Gain

Figure

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  Figure 1. Cumulative percentage of type 2 diabetes by age at diagnosis and intervals from childbirth to diagnosis (N=175)

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