Postpartum Glucose Testing and Postpartum Follow-Up Care in Women with Gestational Diabetes Mellitus

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  Gestational Diabetes Mellitus(GDM)is defined as any degree of glucose intolerance with onset or first recognition during pregnancy,which causes serious harm to the health of expected mothers and their fetuses.The average incidence of GDM is about 4.3%in China and 1%~28%worldwide with a rising trend year by year.Although most GDM women would obtain normal glucose level after delivery,their risks of developing glycometabolism abnormality and Type Ⅱ Diabetes Mellitus(T2DM)postpartum is 7.43 times higher than that of whom had a normoglycaemic pregnancy.The GDM recurrence rate for women with a GDM history would be as high as 48%during their re-pregnancy.Whats worse,as many as 50%GDM women may develop T2DM in 5 years after delivery.Thus,the glucose management after delivery is greatly important.However,the postpartum glucose screening and postpartum follow-up care in women with GDM history are quite unsatisfactory.Quite a number of reasearches have reported the low postpartum screening rate.Only 3.4%~37%of GDM women have screened for blood glucose in 5 weeks to 6 months after childbirth worldwide,and in China this rate can be as low as 0.5%~5.1%.In order to implement early detection and early intervention,even early treatment for those who may present abnormal glycometabolism and develop Type ⅡDiabetes Mellitus,postpartum glucose screening and postpartum follow-up care are significant.This paper reviews the screening time and methods,and the existing problems in current follow-up care management,like failure to form multidisciplinary management teams,weak guideline,GDM womens cognitive dificiency etc.It will provide reference for health professionals to establish scientific postpartum follow-up care model for those in desperate needs.
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