Is it Possible to Screen for Type 2 Diabetes at Day 2 in Gestational Diabetes Mellitus Patients Postpartum?

Université de Sherbrooke51 enrolled

Overview

Within 6 months of delivery, women who had gestational diabetes mellitus should be screened for type 2 diabetes with a fasting plasma glucose test and/or a 2-h postchallenge glycemia in a 75-g oral glucose tolerance test. However, not all women are screened. The objective of this study is to compare the screening test for type 2 diabetes done at 48 hours post-partum versus 8 weeks post-partum. The investigators want to measure the specificity, sensitivity, false and true predictive values of the screening test at 48 hours post-partum compared to the gold-standard.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Gestational Diabetes Mellitus Type 2 Diabetes

Interventions

Oral glucose tolerance testPROCEDURE

Subjects will have the Oral glucose tolerance test 48 hours post-partum and the same test 8 weeks post-partum.

Medical Language ↔ Plain English

Inclusion Criteria: * Dx of gestational diabetes treated with insulin * To be in post-partum * Delivery of a baby of at least 37 weeks of gestation * Have signed the consent form Exclusion Criteria: * History of glucose intolerance of diabetes before the pregnancy * Obstetrical pathology during pregnancy

Outcomes

Primary Outcomes

Oral glucose tolerance test

Sensitivity, specificity, true and false predictive values of the oral glucose tolerance test

Time frame: 8 weeks post partum

Secondary Outcomes

Acceptability of screening test

Prefered moment to do the screening test (48 hours post partum or 8 weeks post partum)