Recurrence of Gestational Diabetes Mellitus
Open accessAbstract
OBJECTIVE—The purpose of this study was to examine rates and factors associated with recurrence of gestational diabetes mellitus (GDM) among women with a history of GDM. RESEARCH DESIGN AND METHODS—We conducted a systematic literature review of articles published between January 1965 and November 2006, in which recurrence rates of GDM among women with a history of GDM were reported. Factors abstracted included recurrence rates, time elapsed between pregnancies, race/ethnicity, diagnostic criteria, and, when available, maternal age, parity, weight or BMI at the initial and subsequent pregnancy, weight gain at the initial or subsequent pregnancy and between pregnancies, insulin use, gestational age at diagnosis, glucose tolerance test levels, baby birth weight and presence of macrosomia, and breast-feeding. RESULTS—Of 45 articles identified, 13 studies were eligible for inclusion. After the index pregnancy, recurrence rates varied between 30 and 84%. Lower rates were found in non-Hispanic white (NHW) populations (30–37%), and higher rates were found in minority populations (52–69%). Exceptions to observed racial/ethnic variations in recurrence were found in cohorts that were composed of a significant proportion of both NHW and minority women or that included women who had subsequent pregnancies within 1 year. No other risk factors were consistently associated with recurrence of GDM across studies. The rates of future preexisting diabetes in pregnancy, socioeconomic status, postpartum diabetes screening rates after the index pregnancy, and the average length of time between pregnancies were generally not reported. CONCLUSIONS—Recurrence of GDM was common and may vary most significantly by NHW versus minority race/ethnicity.
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GDM in a previous pregnancy increases the risk of reoccurrence by more than six times.
“GDM in a previous pregnancy increases the risk of reoccurrence by more than six times [17].”
From Gestational Diabetes Mellitus—Recent Literature Review (2022) · cites this paper as [17]
The introduction (p. 1) says women with a history of GDM have an increased risk of recurrent GDM, and Search for published data (p. 2) reports recurrence rates of 30–84% among women who became pregnant again. The paper does not establish that a previous GDM pregnancy increases recurrence risk by more than six times; the reported percentages are recurrence rates, not a sixfold comparison with women without prior GDM. (LLM, conf=0.85)
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- Authors
- Kim, C., Berger, D. K., & Chamany, S.
- Affiliations
- University of Michigan (US)
- New York City Department of Health and Mental Hygiene (US)
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2007-05-01
- Volume
- 30
- Issue
- 5
- Pages
- 1314-1319
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- OpenAlex
- W2007600124
- Cited by
- 367
- References
- 43
- Citations by year
- 2026: 8 · 2025: 20 · 2024: 25 · 2023: 16 · 2022: 22 · 2021: 19 · 2020: 10 · 2019: 16 · 2018: 24 · 2017: 22 · 2016: 20 · 2015: 23 · 2014: 24 · 2013: 23 · 2012: 14
- FWCI
- 3.04
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Diabetes Care (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (K23DK071552)
- 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, recurrence, subsequent pregnancy, racial and ethnic disparities, recurrence risk factors, maternal age, parity, maternal weight, insulin use, macrosomia, breastfeeding, postpartum diabetes screening
- MeSH terms
- Diabetes Mellitus, Female, Humans, Pregnancy, Recurrence, Cohort Studies, Diabetes, Gestational
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