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Title
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Implementing a reminder system in the northern part of Belgium to stimulate postpartum screening for glucose intolerance in women with gestational diabetes : the Sweet Pregnancy project
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Author
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Abstract
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| Aims. To evaluate the feasibility and efficacy of a gestational diabetes (GDM) recall register on the long-term screening uptake postpartum and to evaluate the prevalence of prediabetes postpartum. Methods. Evaluation of a GDM recall register implemented in 66 obstetrical centers in the northern part of Belgium from 2009 to 2016. Registrants receive yearly reminders to have a fasting plasma glucose test in primary care to timely detect prediabetes. Results. After 6 years, 7269 women were registered. The yearly response rates varied from 74.4% after the first year to 61.8% after the fifth year. The number of women who reported a screening test varied from 67.4% after the first year to 71.9% after the fifth year. Compared to women who responded at least once to a reminder, women who never responded were more often <30 years (41.4% versus 33.9%, ) and were more often obese (29.3% versus 20.8%, ). Over a period of 6 years, 7.3% (CI 6.0%8.8%) developed diabetes and 27.4% (CI 23.9%31.0%) developed impaired fasting glycaemia. Conclusion. We show now the long-term feasibility and efficacy of a GDM recall register to stimulate screening postpartum. One-third of women developed prediabetes within 6 years. |
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Language
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English
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Source (journal)
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International Journal of Endocrinology
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Publication
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2017
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ISSN
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1687-8337
1687-8345
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DOI
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10.1155/2017/3971914
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Volume/pages
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(2017)
, 9 p.
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Article Reference
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3971914
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ISI
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000405426300001
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Medium
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E-only publicatie
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Full text (Publisher's DOI)
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Full text (open access)
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