Implementing a Reminder System in the Northern Part of Belgium to Stimulate Postpartum Screening for Glucose Intolerance in Women with Gestational Diabetes: The “Sweet Pregnancy” Project
Aims. To evaluate the feasibility and efficacy of a gestational diabetes (GDM) recall register on the long-term screening uptake postpartum and to evaluate the prevalence of prediabetes postpartum. Methods. Evaluation of a GDM recall register implemented in 66 obstetrical centers in the northern par...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | International Journal of Endocrinology |
| Online Access: | http://dx.doi.org/10.1155/2017/3971914 |
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| author | Katrien Benhalima Sabine Verstraete Frederik Muylle Katelijn Decochez Roland Devlieger Paul Van Crombrugge Ann Verhaegen Johan Wens Chantal Mathieu |
| author_facet | Katrien Benhalima Sabine Verstraete Frederik Muylle Katelijn Decochez Roland Devlieger Paul Van Crombrugge Ann Verhaegen Johan Wens Chantal Mathieu |
| author_sort | Katrien Benhalima |
| collection | DOAJ |
| description | Aims. To evaluate the feasibility and efficacy of a gestational diabetes (GDM) recall register on the long-term screening uptake postpartum and to evaluate the prevalence of prediabetes postpartum. Methods. Evaluation of a GDM recall register implemented in 66 obstetrical centers in the northern part of Belgium from 2009 to 2016. Registrants receive yearly reminders to have a fasting plasma glucose test in primary care to timely detect prediabetes. Results. After 6 years, 7269 women were registered. The yearly response rates varied from 74.4% after the first year to 61.8% after the fifth year. The number of women who reported a screening test varied from 67.4% after the first year to 71.9% after the fifth year. Compared to women who responded at least once to a reminder, women who never responded were more often <30 years (41.4% versus 33.9%, p<0.001) and were more often obese (29.3% versus 20.8%, p≤0.001). Over a period of 6 years, 7.3% (CI 6.0%–8.8%) developed diabetes and 27.4% (CI 23.9%–31.0%) developed impaired fasting glycaemia. Conclusion. We show now the long-term feasibility and efficacy of a GDM recall register to stimulate screening postpartum. One-third of women developed prediabetes within 6 years. |
| format | Article |
| id | doaj-art-f872e2d66f4848aa9e0baa54d48d742d |
| institution | Kabale University |
| issn | 1687-8337 1687-8345 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Endocrinology |
| spelling | doaj-art-f872e2d66f4848aa9e0baa54d48d742d2025-02-03T01:03:29ZengWileyInternational Journal of Endocrinology1687-83371687-83452017-01-01201710.1155/2017/39719143971914Implementing a Reminder System in the Northern Part of Belgium to Stimulate Postpartum Screening for Glucose Intolerance in Women with Gestational Diabetes: The “Sweet Pregnancy” ProjectKatrien Benhalima0Sabine Verstraete1Frederik Muylle2Katelijn Decochez3Roland Devlieger4Paul Van Crombrugge5Ann Verhaegen6Johan Wens7Chantal Mathieu8Department of Endocrinology, UZ Gasthuisberg, KU Leuven, Leuven, BelgiumDiabetes Liga, Ghent, BelgiumDiabetes Liga, Ghent, BelgiumDepartment of Endocrinology, AZ Jan Portaels, Vilvoorde, BelgiumDepartment of Obstetrics & Gynecology, UZ Gasthuisberg, KU Leuven, Leuven, BelgiumDepartment of Endocrinology, OLV Aalst-Asse-Ninove, Aalst, BelgiumDepartment of Endocrinology, AZ Jan Palfijn, Merksem, BelgiumDepartment of Primary and Interdisciplinary Care, University of Antwerp, Wilrijk, BelgiumDepartment of Endocrinology, UZ Gasthuisberg, KU Leuven, Leuven, BelgiumAims. To evaluate the feasibility and efficacy of a gestational diabetes (GDM) recall register on the long-term screening uptake postpartum and to evaluate the prevalence of prediabetes postpartum. Methods. Evaluation of a GDM recall register implemented in 66 obstetrical centers in the northern part of Belgium from 2009 to 2016. Registrants receive yearly reminders to have a fasting plasma glucose test in primary care to timely detect prediabetes. Results. After 6 years, 7269 women were registered. The yearly response rates varied from 74.4% after the first year to 61.8% after the fifth year. The number of women who reported a screening test varied from 67.4% after the first year to 71.9% after the fifth year. Compared to women who responded at least once to a reminder, women who never responded were more often <30 years (41.4% versus 33.9%, p<0.001) and were more often obese (29.3% versus 20.8%, p≤0.001). Over a period of 6 years, 7.3% (CI 6.0%–8.8%) developed diabetes and 27.4% (CI 23.9%–31.0%) developed impaired fasting glycaemia. Conclusion. We show now the long-term feasibility and efficacy of a GDM recall register to stimulate screening postpartum. One-third of women developed prediabetes within 6 years.http://dx.doi.org/10.1155/2017/3971914 |
| spellingShingle | Katrien Benhalima Sabine Verstraete Frederik Muylle Katelijn Decochez Roland Devlieger Paul Van Crombrugge Ann Verhaegen Johan Wens Chantal Mathieu Implementing a Reminder System in the Northern Part of Belgium to Stimulate Postpartum Screening for Glucose Intolerance in Women with Gestational Diabetes: The “Sweet Pregnancy” Project International Journal of Endocrinology |
| title | Implementing a Reminder System in the Northern Part of Belgium to Stimulate Postpartum Screening for Glucose Intolerance in Women with Gestational Diabetes: The “Sweet Pregnancy” Project |
| title_full | Implementing a Reminder System in the Northern Part of Belgium to Stimulate Postpartum Screening for Glucose Intolerance in Women with Gestational Diabetes: The “Sweet Pregnancy” Project |
| title_fullStr | Implementing a Reminder System in the Northern Part of Belgium to Stimulate Postpartum Screening for Glucose Intolerance in Women with Gestational Diabetes: The “Sweet Pregnancy” Project |
| title_full_unstemmed | Implementing a Reminder System in the Northern Part of Belgium to Stimulate Postpartum Screening for Glucose Intolerance in Women with Gestational Diabetes: The “Sweet Pregnancy” Project |
| title_short | Implementing a Reminder System in the Northern Part of Belgium to Stimulate Postpartum Screening for Glucose Intolerance in Women with Gestational Diabetes: The “Sweet Pregnancy” Project |
| title_sort | implementing a reminder system in the northern part of belgium to stimulate postpartum screening for glucose intolerance in women with gestational diabetes the sweet pregnancy project |
| url | http://dx.doi.org/10.1155/2017/3971914 |
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