Himali Herath|Rasika Herath|Rajitha Wickremasinghe
Gestational diabetes mellitus and risk of type 2 diabetes 10 years after the index pregnancy in Sri Lankan women—A community based retrospective cohort study
Medical Research Institute|University of Kelaniya|University of Kelaniya
background women history gestational diabetes mellitus gdm increased risk type 2 diabetes mellitus t2dm later life compared women gdm study aimed determine risk developing t2dm 10 years gdm sri lankan women methods retrospective cohort study conducted colombo district sri lanka 7205 women delivered child 2005 identified public health midwives field women antenatal records interviewed relevant data extracted medical records identify potential participants one hundred nineteen women gdm 240 women gdm recruited current diagnosis diabetes based history relevant medical records blood reports within past 1 year results mean duration follow 109 sd 035 years gdm group 108 sd 031 years nongdm group incidence density diabetes gdm group 563 per 1000 person years compared 54 per 1000 person years non gdm group giving rate ratio 1042 95 ci 6011912 woman gdm index pregnancy 106 times likely develop diabetes within 10 years compared women gdm controlling confounding variables delivering child 30 years treated insulin pregnancy delivering baby weighing 35 kg significant predictors development t2dm controlling family history diabetes mellitus dm gdm previous pregnancies parity gestational age delivery conclusions women gdm 10fold higher risk developing t2dm 10year follow period compared women gdm controlling confounding variables