Noelle G. Martinez|Charlotte M. Niznik|Lynn M. Yee
Optimizing postpartum care for the patient with gestational diabetes mellitus
Northwestern University|Northwestern University|Northwestern University
gestational diabetes mellitus poses wellestablished risks mother infant 50 women gestational diabetes mellitus develop type 2 diabetes mellitus lifetime performing postpartum oral glucose tolerance testing paramount initiation appropriate lifestyle interventions pharmacologic therapy nonetheless test completion among women gestational diabetes mellitus estimated 50 particularly low rates latina patients well patients public insurance low education levels low health literacy data suggest current health services infrastructure loses patients postpartum gap pregnancyfocused care primary care previous studies suggested strategies promote oral glucose tolerance testing completion identify type 2 diabetes mellitus based existing evidence propose best practices postpartum care women gestational diabetes mellitus 1 enhanced patient support identifying longterm health care providers 2 patientcentered medical home utilization possible 3 patient provider test reminders 4 formalized obstetricianprimary care provider hand offs using situation background assessment recommendation sbar mnemonic strategies deserve future investigation solidify multilevel approach identifying preventing continuum diabetes gestational diabetes mellitus poses wellestablished risks mother infant 50 women gestational diabetes mellitus develop type 2 diabetes mellitus lifetime performing postpartum oral glucose tolerance testing paramount initiation appropriate lifestyle interventions pharmacologic therapy nonetheless test completion among women gestational diabetes mellitus estimated 50 particularly low rates latina patients well patients public insurance low education levels low health literacy data suggest current health services infrastructure loses patients postpartum gap pregnancyfocused care primary care previous studies suggested strategies promote oral glucose tolerance testing completion identify type 2 diabetes mellitus based existing evidence propose best practices postpartum care women gestational diabetes mellitus 1 enhanced patient support identifying longterm health care providers 2 patientcentered medical home utilization possible 3 patient provider test reminders 4 formalized obstetricianprimary care provider hand offs using situation background assessment recommendation sbar mnemonic strategies deserve future investigation solidify multilevel approach identifying preventing continuum diabetes