Practice Update: DIABETES

CONFERENCE COVERAGE 8

American Association of Clinical Endocrinologists 26th Annual Meeting & Clinical Congress 3–7 MAY 2017 • AUSTIN, TEXAS, USA

Postpartum diabetes risk, prognosis for patients with diabetic ketoacidosis, more intense treatment of dyslipidemia, and heart failure complication of type 2 diabetes, were among the many studies presented at this year’s AACE annual meeting. The PracticeUpdate Editorial Team reports. Womenwith gestational diabetes requiring insulin at higher risk of postpartumdiabetes Women with gestational diabetes who require insulin during pregnancy are at higher risk of postpartum diabetes than those who do not require insulin during pregnancy, finds a retrospective review. O kpara Ukandu Igwe, MBBS, of Lagos University Teaching Hospital, Nigeria, set out to assess factors associated with postpartum glucose testing among women with gestational diabetes mellitus and patterns of the results. Eighty-five women diagnosed with gesta- tional diabetes using a 75-g oral glucose tolerance test from 2006 to 2015 at a ter- tiary healthcare facility were studied. Information concerning screening and

testing between 6 to 12 weeks postpartum were significantly correlated. Among the mothers with gestational diabe- tes were tested, 15.3% (n = 13) suffered from impaired glucose tolerance while 7.05% (n = 6) of mothers with gestational diabetes who were diagnosed with diabetes melli- tus. Abnormal postpartum results and use of insulin therapy during pregnancy were significantly correlated. Gestational diabetes mellitus is defined as any degree of glucose intolerance with onset or first recognition during pregnancy. Women with gestational diabetes are at increased risk of recurrence and future development of type 2 diabetes mellitus, and need to be screened and followed postpartum.

sociodemographic features within 6 to 12 weeks of delivery were collected. Pat- terns of test results were assessed and analyzed. Linear and logistic regression models were employed to evaluate the correlation between maternal age, parity, body mass index, mode of treatment, and results of postpartum screening. Of the 85 women with gestational diabetes, 34 (40%) were tested during the 6- to 12- week postpartum period. Mean patient age was 36 ± 2 years. The majority of mothers (58.8%, n = 50) had delivered two to three children. A total of 65.9% (n = 56) had body mass index ≥25kg/m 2 . The majority of women who did not present for postpartum testing followed a controlled diet. Use of insulin during pregnancy and

PRACTICEUPDATE DIABETES