Follow-up and screening for type-2 diabetes mellitus in women with previous gestational diabetes in primary care.
Saved in:
| Title: | Follow-up and screening for type-2 diabetes mellitus in women with previous gestational diabetes in primary care. |
|---|---|
| Authors: | Björk Javanshiri, Amanda (AUTHOR), Calling, Susanna (AUTHOR), Modig, Sara (AUTHOR) |
| Source: | Scandinavian Journal of Primary Health Care. Mar2023, Vol. 41 Issue 1, p98-103. 6p. |
| Subjects: | Blood sugar analysis, Patient aftercare, Medical quality control, Lifestyles, Regulation of body weight, Cardiovascular diseases risk factors, Conversation, Medical screening, Retrospective studies, Habit, Type 2 diabetes, Primary health care, Medical protocols, Treatment effectiveness, Descriptive statistics, Health, Information resources, Research funding, Gestational diabetes, Electronic health records, Secondary care (Medicine), Routine diagnostic tests, Women's health, Disease risk factors |
| Geographic Terms: | Sweden |
| Abstract: | Gestational diabetes mellitus (GDM) is an established risk factor for developing type 2 diabetes mellitus (T2DM) that is possible to prevent by systematic follow-up and preventive measures. The aim of this study was to examine whether women with previous GDM were offered follow-up in primary care, according to Swedish national guidelines. Retrospective review of electronic medical records. Primary care in southern Sweden, Skåne county. Women who received a GDM diagnosis in 2018 at the Endocrinology department, Skåne University Hospital in Lund. The study population consisted of a total number of 161 patients, whereof 83 patients were included. Whether primary care offered follow-up for T2DM after GDM and if any communication took place between secondary and primary care. Furthermore, it was examined whether the quality of the follow-up was in accordance with the national guidelines. Of the study population, a total of 29% (n = 24) had been followed-up by primary care. In 55% (n = 46) of the cases, there was no communication between secondary and primary care. Plasma glucose was checked in all (n = 20) cases where follow-up could be evaluated. Conversations about lifestyle habits took place in 70% (n = 14) of the cases. Weight and risk factors for cardiovascular disease were controlled in less than half (n = 9) of the patients. Lifestyle advice was offered in two cases and in 24% (n = 20) of the cases an annual check-up was planned. The follow-up of women with previous GDM in primary care in southern Sweden was lacking in seven out of 10 cases and showed great potential for improvement. Gestational diabetes is an established risk factor for developing type 2 diabetes. Earlier research has recognized that risk reduction is possible by systematic follow-up and preventive measures, but the extent of follow-up in primary care in southern Sweden remains unknown. This study demonstrates a lack of follow-up according to national guidelines for women with previous gestational diabetes in primary care in southern Sweden. There is great potential to improve the care of these patients with relatively simple means. [ABSTRACT FROM AUTHOR] |
| Copyright of Scandinavian Journal of Primary Health Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
|
Full text is not displayed to guests.
Login for full access.
|
|
| Abstract: | Gestational diabetes mellitus (GDM) is an established risk factor for developing type 2 diabetes mellitus (T2DM) that is possible to prevent by systematic follow-up and preventive measures. The aim of this study was to examine whether women with previous GDM were offered follow-up in primary care, according to Swedish national guidelines. Retrospective review of electronic medical records. Primary care in southern Sweden, Skåne county. Women who received a GDM diagnosis in 2018 at the Endocrinology department, Skåne University Hospital in Lund. The study population consisted of a total number of 161 patients, whereof 83 patients were included. Whether primary care offered follow-up for T2DM after GDM and if any communication took place between secondary and primary care. Furthermore, it was examined whether the quality of the follow-up was in accordance with the national guidelines. Of the study population, a total of 29% (n = 24) had been followed-up by primary care. In 55% (n = 46) of the cases, there was no communication between secondary and primary care. Plasma glucose was checked in all (n = 20) cases where follow-up could be evaluated. Conversations about lifestyle habits took place in 70% (n = 14) of the cases. Weight and risk factors for cardiovascular disease were controlled in less than half (n = 9) of the patients. Lifestyle advice was offered in two cases and in 24% (n = 20) of the cases an annual check-up was planned. The follow-up of women with previous GDM in primary care in southern Sweden was lacking in seven out of 10 cases and showed great potential for improvement. Gestational diabetes is an established risk factor for developing type 2 diabetes. Earlier research has recognized that risk reduction is possible by systematic follow-up and preventive measures, but the extent of follow-up in primary care in southern Sweden remains unknown. This study demonstrates a lack of follow-up according to national guidelines for women with previous gestational diabetes in primary care in southern Sweden. There is great potential to improve the care of these patients with relatively simple means. [ABSTRACT FROM AUTHOR] |
|---|---|
| ISSN: | 02813432 |
| DOI: | 10.1080/02813432.2023.2182632 |
