Highlights
- •Prevalence of diabetes 5 years after pregnancy with gestational diabetes in Croatia is 3.75%.
- •Medical birth certificates and CroDiab are good and reliable national registries.
- •Women who develop diabetes after gestational diabetes in pregnancy have higher BMI.
- •Follow up of women with gestational diabetes in pregnancy should continue after childbirth in primary care settings.
Abstract
Aims
The aim of this study was to determine the prevalence of diabetes among women 5 years
after having gestational diabetes during pregnancy. Also, we sought to determine whether
women who develop diabetes after GD during pregnancy differ from women who do not
develop diabetes after GD during pregnancy.
Methods
This longitudinal study was performed using data from medical birth certificates and
CroDiab diabetes registry. Women burdened with gestational diabetes in Croatia in
2011 were followed up until year 2016. Those registered in CroDiab registry were recognised
as new patients with diabetes.
Results
Among 40,641 deliveries in 2011, gestational diabetes was reported in 1181 (2.9%)
women. Among them 853 (72.23%) were followed up in CroDiab diabetes registry and 32
(3.75%) were identified as new patients with diabetes. Median time from childbirth
to onset of diabetes was 29.12 months. The diabetes group did not significantly differ
to the group without diabetes according to age (p = 0.587), level of education (p = 0.549) or marital status (p = 0.849) except that the diabetes group was significantly more obese than the group
without diabetes (p = 0.002).
Conclusions
Based on CroDiab diabetes registry data prevalence of diabetes 5 years after pregnancy
complicated with gestational diabetes is 3.75% in Croatia. Women with gestational
diabetes during pregnancy, and especially those with higher BMIs, are an important
risk group for developing diabetes later in life so screening and preventive measures
should be oriented toward them in primary care settings.
Abbreviations:
GD (gestational diabetes)Keywords
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Article info
Publication history
Published online: March 06, 2018
Accepted:
February 12,
2018
Received in revised form:
January 31,
2018
Received:
September 10,
2017
Identification
Copyright
© 2018 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.
