Postpartum glucose tolerance in women with gestational diabetes using levonorgestrel intrauterine contraception

被引：6

作者：

Kiley, Jessica W. ^{[1
]}

Hammond, Cassing ^{[1
]}

Niznik, Charlotte ^{[1
]}

Rademaker, Alfred ^{[2
]}

Liu, Dachao ^{[2
]}

Shulman, Lee P. ^{[1
]}

机构：

[1] Northwestern Univ, Feinberg Sch Med, Dept Obstet & Gynecol, Chicago, IL 60611 USA

[2] Northwestern Univ, Feinberg Sch Med, Dept Preventat Med, Chicago, IL 60611 USA

来源：

CONTRACEPTION | 2015年 / 91卷 / 01期

关键词：

Postpartum contraception; Intrauterine device; Gestational diabetes; Glucose tolerance; LARC; RISK;

D O I：

10.1016/j.contraception.2014.08.004

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Objective: Postpartum contraception is critical in women with gestational diabetes mellitus (GDM). We evaluated the effect of the levonorgestrel intrauterine system (LNG-IUS) on glucose tolerance in postpartum women with GDM. Study design: The study is a descriptive analysis of 12-month glucose tolerance in women with recent GDM who used the LNG-IUS, the copper IUD or postpartum sterilization. Results: Twelve months postpartum, 3 of 13 LNG-IUS users (23.1%) and 1 of 6 nonhormonal contraceptive users (16.6%) had prediabetes. No woman developed overt diabetes. Conclusions: This study is the first and only to measure the metabolic effects of the LNG-IUS women with GDM. Larger trials are necessary. (C) 2014 Elsevier Inc. All rights reserved.

引用

页码：67 / 70

页数：4

共 10 条

[1] Centers for Disease Control and Prevention, 2010, MMWR EARLY RELEASE, V59, P80
[2] Goldstuck ND, 2013, ISRN OBSTET GYNECOL, V81, P40
[3] Contraception and the risk of type 2 diabetes mellitus in Latina women with prior gestational diabetes mellitus
Kjos, SL
Peters, RK
Xiang, A
Thomas, D
Schaefer, U
Buchanan, TA
[J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1998, 280 (06): : 533 - 538
[4] Summary and recommendations of the Fifth International Workshop-Conference on Gestational Diabetes Mellitus
Metzger, Boyd E.
Buchanan, Thomas A.
Coustan, Donald R.
De Leiva, Alberto
Dunger, David B.
Hadden, David R.
Hod, Moshe
Kitzmiller, John L.
Kjos, Siri L.
Oats, Jeremy N.
Pettitt, David J.
Sacks, David A.
Zoupas, Christos
[J]. DIABETES CARE, 2007, 30 : S251 - S261
[5] Intermediate-term glucose tolerance in women with a history of gestational diabetes: natural history and potential associations with breastfeeding and contraception
Nelson, Anita L.
Le, Monica Hau Hien
Musherraf, Zuhra
VanBerckelaer, Anje
[J]. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2008, 198 (06) : 699.e1 - 699.e8
[6] Long-term diabetogenic effect of single pregnancy in women with previous gestational diabetes mellitus
Peters, RK
Kjos, SL
Xiang, A
Buchanan, TA
[J]. LANCET, 1996, 347 (8996) : 227 - 230
[7] Effect of a levonorgestrel intrauterine system on women with type 1 diabetes: A randomized trial
Rogovskaya, S
Rivera, R
Grimes, DA
Chen, PL
Pierre-Louis, B
Prilepskaya, V
Kulakov, V
[J]. OBSTETRICS AND GYNECOLOGY, 2005, 105 (04) : 811 - 815
[8] Metformin versus insulin for the treatment of gestational diabetes
Rowan, Janet A.
Hague, William M.
Gao, Wanzhen
Battin, Malcolm R.
Moore, M. Peter
[J]. NEW ENGLAND JOURNAL OF MEDICINE, 2008, 358 (19) : 2003 - 2015
[9] Congenital malformations in offspring of women with hyperglycemia first detected during pregnancy
Schaefer, UM
Songster, G
Xiang, AN
Berkowitz, K
Buchanan, TA
Kjos, SL
[J]. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1997, 177 (05) : 1165 - 1171
[10] Long-acting injectable progestin contraception and risk of type 2 diabetes in Latino women with prior gestational diabetes mellitus
Xiang, AH
Kawakubo, M
Kjos, SL
Buchanan, TA
[J]. DIABETES CARE, 2006, 29 (03) : 613 - 617

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