One way to reduce type 2 diabetes would be to target women with gestational diabetes.1 Maternity services are increasingly screening women and treating gestational diabetes, after the demonstration of significant perinatal benefits.2
Within 10 years, 35-60% of women with gestational diabetes will develop type 2 diabetes.3 These women are an already identified high risk group. Their children are also more likely to be obese and share a genetic propensity to type 2 diabetes.4
Following up women with gestational diabetes allows the targeting of two high risk people without additional screening. Many health service contacts are made in the first year of a child’s life, therefore interventions may be easily delivered. Also, many women are receptive to health advice around the time of a birth when new lifestyle patterns are being established.
Improved follow-up of these women with promotion of diet, exercise, and pharmacology, together with prolongation of breast feeding and subsequent healthy infant feeding is likely to be effective for mother, child, and the health service.
Competing interests: None declared.
References
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