TABLE 2:
Postpartum dysglycemia by timing of gestational diabetes mellitus diagnosis
Postpartum dysglycemia | 11 (36.7) | 13 (14.6) | .01 |
Clinical diagnosis | 7 | 0 | |
Laboratory diagnosis | 4 | 13 | |
Postpartum dysglycemia by 2 h GTT | 4/4 (100) | 13/29 (45) | |
Impaired fasting glucosea | 3/4 (75) | 11/29 (38) | .10 |
Impaired glucose toleranceb | 1/4 (25) | 5/29 (17) | |
Type 2 diabetes mellitus c | 0/4 | 1/29 (4) | |
Postpartum 2 h GTT results | |||
Fasting glucose (mg/dL) | 104 (99–112) | 97 (92–110) | .62 |
2 h glucose (mg/dL) | 132 (100–144) | 115 (100–134) | .64 |
Time from delivery to postpartum visit (wk) | 6.4 (6.0–7.6) | 6.0 (5.9–6.5) | .12 |
Returned for PP visit | 22 (73) | 68 (76) | .74 |
Completed 2 h GTTd | 4 (13) | 29 (42) | .15 |
Breastfeeding | 19 (66) | 67 (75) | .30 |
GDM, gestational diabetes mellitus; GTT, glucose tolerance test; PP, postpartum.
Impaired fasting glucose defined as fasting glucose 100–125 mg/dL;
Impaired glucose tolerance defined as 2-hour glucose 140–199 mg/dL;
Overt type 2 diabetes mellitus defined as fasting glucose >125 mg/dL or 2 hour glucose >199 mg/dL;
Among those who were not already diagnosed with dysglycemia clinically.
Champion. Early gestational diabetes mellitus and postpartum glucose intolerance. Am J Obstet Gynecol MFM 2022.