GLUCOSE INTOLERANCE STATUS AMONG WOMEN WITH HISTORY OF GESTATIONAL DIABETES MELLITUS WITHIN 4-12 WEEKS POSTPARTUM AT THE NATIONAL ENDOCRINOLOGY HOSPITAL
Main Article Content
Abstract
Objectives: To investigate the prevalence of glucose intolerance 4 to 12 weeks postpartum in women with a history of gestational diabetes mellitus (GDM) and to identify associated risk factors. Methods: A cross-sectional study was conducted involving 100 women 4-12 weeks postpartum who were diagnosed with GDM according to the 2023 ADA criteria. Participants were examined at the Thai Thinh campus of the National Endocrinology Hospital from August 2024 to June 2025. Results: The prevalence of glucose intolerance postpartum was 59%. Significant associated factors included the use of assisted reproductive technology (OR=4.3; p<0.05), higher pre-pregnancy BMI (23.15 vs. 21.76; p<0.05), insulin treatment during pregnancy (p<0.05), comorbid hypertension (OR=3.4; p<0.05), and dyslipidemia (OR=7.9; p<0.05). Conclusions: The prevalence of postpartum glucose intolerance in women with a history of GDM is high (59%). Factors such as pre-pregnancy BMI, insulin therapy, use of assisted reproductive techniques, and comorbidities increase the risk of postpartum glucose dysregulation. Early screening and management of postpartum glucose intolerance are essential to prevent progression to type 2 diabetes and to improve postpartum women's health care outcomes
Article Details
Keywords
Glucose intolerance, gestational diabetes
References
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