Efficacy of early versus late postpartum DIPSI test in gestational diabetes mellitus women for follow up

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dc.contributor.authorA., Geethalakshmien_US
dc.contributor.authorS., Saraswathien_US
dc.contributor.authorK., Kalaivanien_US
dc.contributor.authorC., Anjalakshien_US
dc.contributor.authorJain, Rajeshen_US
dc.contributor.authorV., Seshiahen_US
dc.date.accessioned2024-09-24T09:08:08Z
dc.date.available2024-09-24T09:08:08Z
dc.date.issued2024-04
dc.description.abstractBackground: The present study aimed to evaluate if postpartum gestational diabetes mellitus (GDM) screening can be performed during immediate post-delivery 72 hrs instead of six weeks postpartum for follow-up.Methods: Total 150 GDM patients were included. The sample size was calculated as 150 with Nimaster2.0 software. GDM patients are enrolled after meeting the exclusion criteria for the study. The GDM diagnosis was made by DIPSI test and treated as per guidelines. After delivery, the Dipsi test was done on PND-3 (PP1). Furthermore, all were kept on LSM irrespective of the glycaemic level DIPSI test was repeated in all Patients after 45 days (PP2).Results: All 150 patients had a DIPSI test on 3rd day post-partum (PP1) and repeat test at 45 days (PP2)., Of these, 60 patients (40%) showed negative DIPSI test on P1 and all remained in Group 1, with 63 patients having negative DIPSI test on PP2. 50 patients (33.3%) had blood glucose between 140-199 mg (Group 2) on PP1 and increased to 53 patients in PP2 in 45 days. 40 patients had diabetic (26.6%) value (Group 3) in PP1, and out of them 34 (22.6%) remained in group 3 in PP2 after 45 days post-partum.Conclusions: This pilot study shows that nearly 60% of the GDM patient have either IGT or diabetic value following delivery on 3rd day of PP1 and almost similar results in PP2. Hence, we can do the postpartum screening on the postpartum 3rd day and need not wait for 6 wks when more than 50% is lost for follow-up. This study shows among GDM 60% of them have underlying beta cell dysfunction.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynaecology, Madras Medical College, Chennai, Tamil Nadu, Indiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynaecology, Madras Medical College, Chennai, Tamil Nadu, Indiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynaecology, Madras Medical College, Chennai, Tamil Nadu, Indiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynaecology, The Madha Medical College and Hospital, Chennai, Tamil Nadu, Indiaen_US
dc.identifier.affiliationsDepartment of Medicine, Jain Hospital Research Centre, Kanpur, Uttar Pradesh, Indiaen_US
dc.identifier.affiliationsDepartment of Medicine, The MGR Medical University, Chennai, Tamil Nadu, Indiaen_US
dc.identifier.citationA. Geethalakshmi, S. Saraswathi, K. Kalaivani, C. Anjalakshi, Jain Rajesh, V. Seshiah . Efficacy of early versus late postpartum DIPSI test in gestational diabetes mellitus women for follow up . International Journal of Reproduction, Contraception, Obstetrics and Gynecology . 2024 Apr; 13(4): 942-947en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/232667
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber4en_US
dc.relation.volume13en_US
dc.source.urihttps://doi.org/10.18203/2320-1770.ijrcog20240792en_US
dc.subjectPostpartum screeningen_US
dc.subjectLSM lifestyle modificationen_US
dc.subjectGlucose tolerance test GTTen_US
dc.subjectGestational diabetes mellitusen_US
dc.subjectDIPSI testen_US
dc.titleEfficacy of early versus late postpartum DIPSI test in gestational diabetes mellitus women for follow upen_US
dc.typeJournal Articleen_US
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