Postpartum Diabetes

Gestational diabetes is one of the most prevalent comorbidities during pregnancy. Although the disease disappears after delivery, women who were affected by gestational diabetes have a higher risk to develop “postpartum diabetes” in the follow-up. Therefore, these women are advised to let their blood glucose values tested 6 to 12 weeks after delivery and in the follow-up every two or three years.

Several risk factors are assumed to be involved in pathogenesis of type 2 diabetes after gestational diabetes. Scientists of the Institute of Diabetes Research (IDF), Helmholtz Zentrum München, developed a risk score which summarizes 4 central risk factors in only one digit.

The Score is based on 257 cases of gestational diabetes collected from 1989 to 1999 and followed up for 20 years after delivery.

By analyzing these cases of gestational diabetes the scientists acquired 4 categories of risks straight after delivery (low, middle, high, extremely high). Based on these categories women can predict her own risk for type 2 diabetes over time. 

Original Publication:
Köhler M, Ziegler AG, Beyerlein A. Development of a simple tool to predict the risk of postpartum diabetes in women with gestational diabetes mellitus. Acta Diabetol. 2015; DOI 10.1007/s00592-015-0814-0

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