Risk Factors for Progression From Gestational Diabetes to Postpartum Type 2 Diabetes: A Review

被引:14
作者
Bengtson, Angela M. [1 ]
Ramos, Sebastian Z. [2 ]
Savitz, David A. [1 ,2 ]
Werner, Erika F. [1 ,2 ]
机构
[1] Brown Univ, Sch Publ Hlth, Dept Epidemiol, Providence, RI 02912 USA
[2] Brown Univ, Women & Infants Hosp, Warren Alpert Med Sch, Dept Obstet & Gynecol, Providence, RI USA
关键词
gestational diabetes; diabetes mellitus; progression to diabetes postpartum;
D O I
10.1097/GRF.0000000000000585
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Gestational diabetes mellitus (GDM) complicates 6% to 8% of pregnancies and up to 50% of women with GDM progress to type 2 diabetes mellitus (DM) within 5 years postpartum. Clinicians have little guidance on which women are most at risk for DM progression or when evidence-based prevention strategies should be implemented in a woman's lifecycle. To help address this gap, the authors review identifiable determinants of progression from GDM to DM across the perinatal period, considering prepregnancy, pregnancy, and postpartum periods. The authors categorize evidence by pathways of risk including genetic, metabolic, and behavioral factors that influence progression to DM among women with GDM.
引用
收藏
页码:234 / 243
页数:10
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