Abstract：
BACKGROUND:The incidence of type 2 diabetes (T2DM) is increasing. Having a pregnancy complicated by gestational diabetes mellitus (GDM) is a potent risk factor for the later development of T2DM. AIMS:To explore the characteristics of women diagnosed with GDM in a single centre and their follow up for progression to T2DM. METHODS:A retrospective cohort study using anonymised data of one hundred and fifty four (154) women with GDM receiving maternity care at the Oxford University Hospitals NHS Foundation Trust (OUHFT) in 2010 and their follow up until 2018. RESULTS:The prevalence of GDM in women delivering in Oxfordshire in 2010 was 3.4%. 70% of pregnant women were overweight or obese (with 51% being obese) at booking. Gestational weight gain (GWG) was excessive in 29% of women, when compared to Institute of Medicine (IOM) guidelines. Almost a quarter of women (23.4%) had no follow up after delivery. Over a median follow up of 3.5 years (range 0-8 years) nearly one in six (16.9%) of the total cohort (22% of those tested) went on to develop T2DM. 74% of women with GDM were multiparous, and 65% of nulliparous women were tested compared to 81% of multiparous women. There was a significant difference between multiparous women (53.8%) compared to nulliparous women (46.2%) developing T2DM (p=0.01). There was no significant difference in BMI (p=0.866) or GWG (p=0.83) in women who progressed to T2DM versus those who did not. CONCLUSION:The risk of T2DM after GDM is substantial however, follow up rates of this population is poor. Subsequent screening of women with GDM and their management crosses secondary and primary care with scope for improvement in counselling of women of the importance of annual reviews, in data collection and follow up in both obstetrics and general practice. The implementation of a recall system, an education programme for general practitioners and/or a registry of women diagnosed with GDM could be useful to identify those at high risk of developing T2DM as well as providing a platform for the potential development of interventions to prevent progression to T2DM after GDM.
journal_name
Prim Care Diabetesjournal_title
Primary care diabetesauthors
Walker E,Flannery O,Mackillop Ldoi
10.1016/j.pcd.2020.05.010subject
Has Abstractpub_date
2020-12-01 00:00:00pages
698-702issue
6eissn
1751-9918issn
1878-0210pii
S1751-9918(20)30195-9journal_volume
14pub_type
杂志文章abstract：AIMS:People with diabetes have heightened levels of depressive symptoms, but less is known about the development of these symptoms in relation to diabetes duration. In this study, we examined the use of prescribed antidepressants in the first five years after diagnosis of diabetes among the working-age population in De...
journal_title：Primary care diabetes
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doi：10.1016/j.pcd.2018.01.002
更新日期：2018-08-01 00:00:00
abstract：AIM:This paper determines whether patients with and without Diabetic Peripheral Neuropathy use suitable footwear, taking into account that these persons are subject to a significant loss of sensitivity in the feet. METHODS:Cross-sectional observational study was conducted of 108 participants with diabetes mellitus. In...
journal_title：Primary care diabetes
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更新日期：2021-02-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2018.08.008
更新日期：2018-12-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章,多中心研究
doi：10.1016/j.pcd.2013.02.001
更新日期：2013-07-01 00:00:00
abstract：AIMS:To investigate whether long-term mortality or clinical outcomes differed between patients diagnosed with type 2 diabetes mellitus and presenting with HbA1c within or above normal range at time of diagnosis. METHODS:Data were from a population-based sample of 1136 individuals with newly diagnosed type 2 diabetes m...
journal_title：Primary care diabetes
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更新日期：2013-04-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2020.12.005
更新日期：2021-01-06 00:00:00
abstract：AIMS:Raising awareness of diabetic retinopathy (DR) was shown to be a key element for early diagnosis and treatment of this blinding disease. There is very limited data about the knowledge level, attitude, and behavior of diabetic patients regarding DR in Turkey. This study was planned to assess the awareness of DR and...
journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2013.04.002
更新日期：2013-12-01 00:00:00
abstract：AIMS:To study the frequency and intensity of depressive symptoms and associations with physician resource utilisation following insulin initiation in patients with type 2 diabetes mellitus. METHODS:SOLVE was a 24-week observational study. In this sub-analysis of data from Poland, depressive symptoms were evaluated usi...
journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2015.01.002
更新日期：2015-10-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2016.09.002
更新日期：2017-02-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pcd.2016.12.003
更新日期：2017-04-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2011.02.001
更新日期：2011-07-01 00:00:00
abstract：BACKGROUND:Diabetes is known as a major cause of morbidity and mortality worldwide. Portugal is known as the European country with the highest prevalence of this disease. While diabetes prevalence data is updated annually in Portugal, the General Practitioner's (GP) Sentinel Network represents the only data source on d...
journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2016.05.003
更新日期：2016-10-01 00:00:00
abstract：:Blood pressure management guidelines are widely available. Our aim was to examine differences in blood pressure on the same subjects in primary and secondary care. We identified 661 diabetic subjects with measurements with the aid of the SAIL databank. Blood pressure in primary care was significantly lower than second...
journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2009.06.001
更新日期：2009-08-01 00:00:00
abstract：AIM:In the current study the relationship between self-reported nocturnal sleep duration (NSD) and daytime sleepiness with 24-h urinary protein excretion (UPE) and 24-h urinary albumin excretion (UAE) were investigated in patients with newly diagnosed type 2 diabetes mellitus. METHODS:All patients underwent history ta...
journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2013.01.002
更新日期：2013-04-01 00:00:00
abstract：AIMS:To investigate associations between diabetes distress and productivity, and to identify the potential risk factors that could affect these particular associations. METHODS:This cross-sectional study was conducted in three outpatient healthcare institutions. Patients aged ≥21 years with uncontrolled T2DM and polyp...
journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2020.04.004
更新日期：2020-10-01 00:00:00
abstract：:Over the past decade the UK government has introduced a number of major policy initiatives to improve the quality of health care. One such initiative was the introduction of the Quality and Outcomes Framework (QOF), a pay for performance scheme launched in April 2004, which aims to improve the primary care management ...
journal_title：Primary care diabetes
pub_type： 杂志文章,评审
doi：10.1016/j.pcd.2010.02.003
更新日期：2010-07-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2011.06.001
更新日期：2011-12-01 00:00:00
abstract：OBJECTIVE:Realise a review of studies of economic evaluation about the ambulatory monitoring of capillary glucose (AMGC) in diabetic type II persons. METHODOLOGY:A review of the literature was conducted, in MedLine, various websites, referenced paper and provided by expert's persons. RESULTS:Five studies concluded th...
journal_title：Primary care diabetes
pub_type： 杂志文章,评审
doi：10.1016/j.pcd.2013.11.005
更新日期：2014-04-01 00:00:00
abstract：AIMS:The purpose of our investigation was to identify the genetic and clinical risk factors of type 2 diabetes mellitus (T2DM) and to predict the incidence of T2DM in Korean adults aged 40-69 at follow-up intervals of 5, 7, and 10years. METHODS:Korean Genome and Epidemiology Study (KoGES) cohort data (n=10,030) were u...
journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2018.07.004
更新日期：2019-02-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2012.10.085
更新日期：2013-07-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2018.08.006
更新日期：2019-02-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2014.06.003
更新日期：2015-04-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章,评审
doi：10.1016/j.pcd.2015.04.004
更新日期：2015-10-01 00:00:00
abstract：AIMS:The prevalence of Type 2 Diabetes Mellitus among adolescents in the United States continues to rise, following the trajectory of the obesity epidemic which posits not only a substantial health burden to our society, but also a significant threat to the wellbeing of America's youth. While a number of studies have e...
journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2020.05.017
更新日期：2021-02-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2019.10.001
更新日期：2020-08-01 00:00:00
abstract：AIM:We estimated the prevalence of undiagnosed diabetes, analyzed the influence of family history on the occurrence of T2D and evaluated its aggregation pattern in the Mauritanian population. METHODS:The prevalence of unknown diabetes was obtained using data compiled from 1278 Mauritanian adults applying a questionnai...
journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2012.12.002
更新日期：2013-04-01 00:00:00
abstract：:From the MDI-liraglutide study, we evaluated variables associated with endogenous insulin production in persons with multiple daily insulin injections-treated type 2 diabetes by relating C-peptide, proinsulin and proinsulin/C-peptide ratio at baseline to baseline variables. Lower insulin production was related to long...
journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2020.11.005
更新日期：2020-12-07 00:00:00
abstract：AIMS:This study investigated (factors related to) (a) the response to a screening procedure for depression and anxiety in people with type 2 diabetes in primary care, and (b) participation in a subsequent randomised controlled trial targeting depressive or anxiety symptoms. METHODS:People with type 2 diabetes (n=1837)...
journal_title：Primary care diabetes
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pcd.2017.02.006
更新日期：2017-06-01 00:00:00
abstract：AIMS:To evaluate the health-related quality of life (HRQoL) and functional capacity in relation to glycemic control among older home-dwelling primary care patients. METHODS:Electronic patient records were used to identify 527 people over 65 years with diabetes. Of these, 259 randomly selected subjects were invited to ...
journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2017.07.001
更新日期：2017-12-01 00:00:00
abstract：BACKGROUND:Type 2 Diabetes (T2D) continues to be an escalating public health problem contributes to increased morbidity and mortality. Although the complications of T2D is a major threat to the health of women of Arab descent, there is lack of information about their health practices and diabetes self-management behavi...
journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2020.10.009
更新日期：2020-11-08 00:00:00
