Abstract

The World Health Organisation has recommended glucose testing at six weeks postpartum as the earliest point of detection for abnormal glucose tolerance in women diagnosed with gestational diabetes mellitus (GDM). Nonetheless, there exists a low prevalence of postpartum glucose testing in numerous regions across the globe, ranging from 30% to 60%. The objective of this study was to ascertain the percentage of women diagnosed with gestational diabetes mellitus (GDM) who underwent glucose testing at six weeks and 12 weeks postpartum, as well as to identify the factors that are linked to compliance with the test. Material and Methods- the present study is Prospective observational cross sectional study done at antenatal outdoor from April 2016 to March 2018 and admitted for delivery at obstetrics and gynaecology, Department B.R.SINGH Hospital Kolkata. total 100 pregnant women had selected as study population on the basis of inclusion and exclusion criteria. Results- Women with GDM ranged from the ages18.00-34.00 years with mean age (Mean ± S.D.) of patients being 25.4400±3.6991 years. Proportion of patients was significantly higher in age group 26-30 years. We found that 80 (80.0%) patients had FBS ≤95 mg/dl at 6 weeks and 90(90%) at 12 weeks follow up. 14 (14.0%) patients had FBS >95-125 mg/dl at 6 weeks and 9 (9.0%) patients at 12 weeks follow-up. 6 (6.0%) patient had FBS >125 mg/dl at 6 weeks follow-up and 1 (1.0%) at 12 weeks follow-up and statistically significant similarly 80 (80.0%) patients had PPBS<140 mg/dl at 6 weeks and 93 (93.0%) at 12weeks follow-up. 15 (15.0%) patients had PPBS 140-199 mg/dl at 6 weeks and 6 (6.0%) at 12 weeks follow-up. 5 (5.0%) patient had PPBS >200 mg/dl at 6 weeks and 1 (1.0%) at 12 weeks follow-up and it is also statistically significant while the association of age is not significant at any interval of time. Conclusion- rates of type 2 diabetes continue to increase, women with GDM should be educated that glucose intolerance may not be temporary, that it can be modified by behaviour changes and that is why postpartum testing is important.

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