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Factors related to prediabetes among postpartum T hai women with a history of gestational diabetes mellitus
Author(s) -
Youngwanichsetha Sununta,
Phumdoung Sasitorn
Publication year - 2013
Publication title -
nursing and health sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.563
H-Index - 47
eISSN - 1442-2018
pISSN - 1441-0745
DOI - 10.1111/nhs.12055
Subject(s) - prediabetes , medicine , gestational diabetes , postprandial , overweight , obstetrics , diabetes mellitus , body mass index , glucose tolerance test , impaired glucose tolerance , pregnancy , incidence (geometry) , endocrinology , type 2 diabetes , gestation , insulin resistance , physics , optics , biology , genetics
Women with a history of gestational diabetes mellitus are at risk of developing prediabetes. Using a cross‐sectional analytic design, the factors related to prediabetes among T hai women ( n = 210) with a history of gestational diabetes mellitus were investigated. The main outcomes measured were two‐hour plasma glucose after taking a 75 g oral glucose tolerance test at a six week postpartum visit. Data were analyzed using descriptive statistics and P earson's correlation. The study showed that the incidence of prediabetes among postpartum T hai women was 26.67%. Factors associated with prediabetes were: (i) being over 35 years of age; (ii) three or more pregnancies; (iii) recurrent gestational diabetes mellitus; (iv) high plasma glucose before taking a 100 g glucose tolerance test and high postprandial plasma glucose during pregnancy; and (v) being overweight or obese at six weeks' postpartum. The results showed that nursing interventions need to be implemented to reduce plasma glucose and body mass index in order to prevent or reverse prediabetes.