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Cited by 22Gestational Diabetes Research and ManagementDiabetes, Cardiovascular Risks, and LipoproteinsDiabetes Management and Research

Risk factors associated with early postpartum glucose intolerance in women with a history of gestational diabetes mellitus: a systematic review and meta-analysis

Liu, Zhe, Zhang, Qianghuizi, Liu, Leyang, Liu, Weiwei·2023·Endocrine
DOI 10.1007/s12020-023-03472-x
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Abstract

Purpose This meta-analysis was aimed at exploring the incidence and risk factors of glucose intolerance in women with gestational diabetes mellitus (GDM) at 6-12 weeks postpartum to inform the development of preventive strategies. Method We searched Pubmed, Embase, Web of Science, the Cochrane Library, Ovid, China Knowledge Resource Integrated Database (CNKI), Wanfang Database and China Biology Medicine Database for entries between January 1990 and September 2022. The search terms included gestational diabetes mellitus, postpartum, glucose intolerance and type 2 diabetes. The meta-analysis was conducted using Stata 14.0. Result We included 37 studies, with 21 and 16 having low and medium risk of bias, respectively. The incidence of glucose intolerance in women with GDM 6-12 weeks postpartum was 27% (95% CI: 0.22-0.33). The following risk factors for GDM 6-12 weeks postpartum were identified: insulin use during pregnancy (OR = 3.23; 95% CI: 2.35-4.44), family history of diabetes (OR = 2.94; 95% CI: 1.98-4.33), abnormal fasting glucose levels at 24-28 weeks of gestation (OR = 1.15; 95% CI: 1.07-1.25), high pre-pregnancy BMI (OR = 1.63; 95% CI: 1.23-2.15), abnormal triglyceride levels during 28-40 weeks of gestation (OR = 2.18; 95% CI: 1.18-4.03), abnormal HbA 1 c levels at 28-40 weeks of gestation (OR = 6.62; 95% CI: 4.71-9.30), history of previous GDM (OR = 2.11; 95% CI: 1.27-3.49), and high 1-h glucose levels at 24-28 weeks of gestation (OR = 1.16; 95% CI:1.06-1.28). Conclusi…

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  • GDM is often indicative of underlying beta-cell dysfunction, which confers marked increased risk for later development of glucose intolerance and diabetes in the mother after delivery.

    “GDM is often indicative of underlying b-cell dysfunction (182), which confers marked increased risk for later development of glucose intolerance and diabetes in the mother after delivery (183-185).”

    From 2. Diagnosis and classification of diabetes: standards of care in diabetes-2025 (2025) · cites this paper as [185]

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Authors
Liu, Z., Zhang, Q., Liu, L., & Liu, W.
Affiliations
Capital Medical University (CN)
Corresponding author
Liu, Weiwei
ORCID
Venue
Endocrine
Publisher
Springer Science and Business Media LLC
Published
2023-08-16
Volume
82
Issue
3
Pages
498-512
ISSN
  • 0969-711X (ISSN-L)
  • 1559-0100
DOI
10.1007/s12020-023-03472-x
OpenAlex
W4385858190
Cited by
22
References
5
Citations by year
2026: 10 · 2025: 5 · 2024: 6 · 2023: 1
FWCI
1.34
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Endocrine (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Natural Science Foundation of China (71904133)
  • Medjaden Academy & Research Foundation for Young Scientists (No. MJA202306038)
Topics
  • Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
Keywords
gestational diabetes mellitus, postpartum glucose intolerance, type 2 diabetes risk, risk factors, family history of diabetes, pre-pregnancy body mass index, triglycerides, HbA1c, fasting blood glucose, incidence, prevention, women's health, pregnancy outcomes, postpartum period, glycemic control in pregnancy, postpartum follow-up
MeSH terms
Blood Glucose, Diabetes Mellitus, Type 2, Female, Glucose, Glucose Tolerance Test, Humans, Pregnancy, Risk Factors, Diabetes, Gestational, Glucose Intolerance, Postpartum Period

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