Postpartum Type 2 Diabetes Mellitus Frequency of Patients with Gestational Diabetes Mellitus

Lezzan Keskin

Article Details

Postpartum Type 2 Diabetes Mellitus Frequency of Patients with Gestational Diabetes Mellitus

Authors:

Lezzan Keskin

Publisher:

Alanya Alaaddin Keykubat Üniversitesi

Main Topics:

Endokrinoloji

Journal:

Acta Medica Alanya Vol.7 Issue 2, pp.132-136

Document Type:

Article

Publication Date:

10/2023

Document Language:

English

Document ID (Org No.):

2001301822

pISSN:

2587-0319

Keywords:

Abstract:

 Aim: This study aims to examine the frequency of type 2 diabetes mellitus DM in the postpartum period and its relationship with other risk factors. Materials and Methods: Patients who were diagnosed, followed up and treated for gestational diabetes in Malatya Turgut Özal University, Malatya Training and Research Hospital Endocrinology outpatient clinic and who underwent Oral Glucose Tolerance Test OGTT in the postpartum period were included. Results: In our retrospective study, 157 patients were included. The mean age was 31.85.6 years. After being followed up with her follow-up and treatment throughout the pregnancy, OGTT administered with 75 grams of glucose was performed at the postpartum 8th week. Impaired glucose tolerance IGT was detected in 23 patients 14.64, impaired fasting glucose IFG in 18 patients 11.46, and type 2 DM in 17 patients 10.8. When evaluated in terms of the presence of DM in the postpartum period, no difference was found regarding the history of gestational DM in the anamnesis p0.305 and the presence or absence of family history p0.095. In terms of the presence of DM, there was a significant difference between the patients receiving insulin therapy and those receiving diet therapy p0.001. Conclusion: We can say that type 2 DM development in the postpartum period is associated with high maternal age and an increase in body mass index BMI. Being pregnant with the ideal weight to be achieved by lifestyle changes may decrease the risk of type 2 DM and diabetes-related complications in the long term.

 Aim: This study aims to examine the frequency of type 2 diabetes mellitus DM in the postpartum period and its relationship with other risk factors. Materials and Methods: Patients who were diagnosed, followed up and treated for gestational diabetes in Malatya Turgut Özal University, Malatya Training and Research Hospital Endocrinology outpatient clinic and who underwent Oral Glucose Tolerance Test OGTT in the postpartum period were included. Results: In our retrospective study, 157 patients were included. The mean age was 31.85.6 years. After being followed up with her follow-up and treatment throughout the pregnancy, OGTT administered with 75 grams of glucose was performed at the postpartum 8th week. Impaired glucose tolerance IGT was detected in 23 patients 14.64, impaired fasting glucose IFG in 18 patients 11.46, and type 2 DM in 17 patients 10.8. When evaluated in terms of the presence of DM in the postpartum period, no difference was found regarding the history of gestational DM in the anamnesis p0.305 and the presence or absence of family history p0.095. In terms of the presence of DM, there was a significant difference between the patients receiving insulin therapy and those receiving diet therapy p0.001. Conclusion: We can say that type 2 DM development in the postpartum period is associated with high maternal age and an increase in body mass index BMI. Being pregnant with the ideal weight to be achieved by lifestyle changes may decrease the risk of type 2 DM and diabetes-related complications in the long term.

 Aim: This study aims to examine the frequency of type 2 diabetes mellitus DM in the postpartum period and its relationship with other risk factors. Materials and Methods: Patients who were diagnosed, followed up and treated for gestational diabetes in Malatya Turgut Özal University, Malatya Training and Research Hospital Endocrinology outpatient clinic and who underwent Oral Glucose Tolerance Test OGTT in the postpartum period were included. Results: In our retrospective study, 157 patients were included. The mean age was 31.85.6 years. After being followed up with her follow-up and treatment throughout the pregnancy, OGTT administered with 75 grams of glucose was performed at the postpartum 8th week. Impaired glucose tolerance IGT was detected in 23 patients 14.64, impaired fasting glucose IFG in 18 patients 11.46, and type 2 DM in 17 patients 10.8. When evaluated in terms of the presence of DM in the postpartum period, no difference was found regarding the history of gestational DM in the anamnesis p0.305 and the presence or absence of family history p0.095. In terms of the presence of DM, there was a significant difference between the patients receiving insulin therapy and those receiving diet therapy p0.001. Conclusion: We can say that type 2 DM development in the postpartum period is associated with high maternal age and an increase in body mass index BMI. Being pregnant with the ideal weight to be achieved by lifestyle changes may decrease the risk of type 2 DM and diabetes-related complications in the long term.

 Amaç: Çalışmamızda postpartum dönemde tip 2 diabetes mellitus DM sıklığı ve risk faktörleri ile ilişkisinin incelenmesi amaçlanmıştır. Gereç ve Yöntem: Malatya Turgut Özal Üniversitesi, Malatya Eğitim ve Araştırma Hastanesi Endokrinoloji polikliniğinde gestasyonel diyabet tanısı alan, takip ve tedavisi edilen ve postpartum Oral Glikoz Tolerans Testi OGTT yapılan hastalar dahil edilmiştir. Bulgular: Çalışmaya 157 hasta dahil edildi. Yaş ortalaması 31,85,6 idi. Gebelik boyunca takibi ve tedavisi ile izlendikten sonra postpartum 8. haftada 75 gramlık OGTT yapıldı. Yirmi üç hastada 14,64 bozulmuş glikoz toleransı BGT, 18 hastada 11,46 bozulmuş açlık glikozu BAG ve 17 hastada 10,8 tip 2 DM tespit edilmiş olup 99 hastamızın 63,5 normal glikoz değerleri tespit edilmiştir. Postpartum dönemde DM varlığı açısından değerlendirildiğinde anamnezinde gestasyonel DM öyküsü p0,305 ve aile öyküsü varlığı ya da yokluğu açısından farklılık saptanmadı p0,095. DM varlığı açısından insülin tedavisi alan hastalar ile diyet tedavisi alan hastalar arasında ise anlamlı farklılık vardı p0,001. Sonuç: Çalışmamızın sonucunda postpartum dönemde tip 2 DM gelişiminin anne yaşının yüksekliği ve vücut kitle indeksi VKİ artışının beraberliği ile ilişkili olduğunu söyleyebiliriz. Yaşam şekli değişikliği ile sağlanacak ideal kilo ile gebe kalmak tip 2 DM riskin ve uzun vadede diyabete bağlı komplikasyonlarda azalma gösterebilecektir.

Article Details

Postpartum Type 2 Diabetes Mellitus Frequency of Patients with Gestational Diabetes Mellitus

Authors:

Lezzan Keskin

Publisher:

Alanya Alaaddin Keykubat Üniversitesi

Main Topics:

Endokrinoloji

Journal:

Acta Medica Alanya Vol.7 Issue 2, pp.132-136

Document Type:

Article

Publication Date:

10/2023

Document Language:

English

Document ID (Org No.):

2001301822

pISSN:

2587-0319

diabetes

gestational

obesity

insulinDiyabet

gebelik

obezite

insülin

Issues

Article Details

Authors: Lezzan Keskin

Publisher: Alanya Alaaddin Keykubat Üniversitesi

Main Topics: Endokrinoloji

Journal: Acta Medica Alanya Vol.7 Issue 2, pp.132-136

Document Type: Article

Publication Date: 10/2023

Document Language: English

Document ID (Org No.): 2001301822

pISSN: 2587-0319

Issues

Authors:

Lezzan Keskin

Publisher:

Alanya Alaaddin Keykubat Üniversitesi

Main Topics:

Endokrinoloji

Journal:

Acta Medica Alanya Vol.7 Issue 2, pp.132-136

Document Type:

Article

Publication Date:

10/2023

Document Language:

English

Document ID (Org No.):

2001301822

pISSN:

2587-0319