Carson et al. after extensive literature review have identified system based factors
that explain poor as well as broad variation in postpartum GDM testing rates. The
primary factor associated with higher rates was implementation of an active system-based
programme designed to improve the postpartum testing rate [
[1]
]. Study by Clark et al. best explains this fact. We recently proposed that in view
of the dramatic response to reminders as observed in Clark's study, they should be
introduced into regular practice [
[2]
]. For example, in patients with normal glucose tolerance or HbA1c, reminders can be
sent every 3 years. If results fall in the pre-diabetic range, reminders could be
sent annually (as per American Diabetes Association guidelines on frequency of testing).Keywords
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References
- Original research: postpartum testing rates among women with a history of gestational diabetes – systematic review.Prim. Care Diab. 2013; 7: 177-186
- Post-partum screening after gestational diabetes.Lancet Diab. Endocrinol. 2013; 1: 90-91
- Effectiveness of mobile phone messaging in prevention of type 2 diabetes by lifestyle modification in men in India: a prospective, parallel-group, randomised controlled trial.Lancet Diab. Endocrinol. 2013; (published online September 11)https://doi.org/10.1016/S2213-8587(13)70067-6
- Preventing Type 2 diabetes after gestational diabetes: women's experiences and implications for diabetes prevention interventions.Diab. Med. 2013; 30: 986-993
- Response to Lie et al. Preventing Type 2 diabetes after gestational diabetes: women's experiences and implications for diabetes prevention interventions.Diab. Med. 2013 August; https://doi.org/10.1111/dme.12304
- Evaluation of a self-administered oral glucose tolerance test.Diab. Care. 2013; 36: 1483-1488
Article info
Publication history
Published online: November 08, 2013
Received:
October 1,
2013
Identification
Copyright
© 2013 Primary Care Diabetes Europe. Published by Elsevier Inc. All rights reserved.
