Prevalence, screening and postpartum control of gestational diabetes mellitus among the insurees of the health insurance company Dôvera

Česká verzia

Authors: Daniela Adamkovičová ¹; Miriam Avramovová ³; Silvia Dókušová ⁴; Ivan Tkáč ²; Beata Saal ¹; Martin Selvek ¹; Roman Mužik ¹
Authors place of work: DÔVERA zdravotná poisťovňa, a. s., Bratislava ¹; Excelentný tím pre výskum aterosklerózy (EXTASY), IV. interná klinika UPJŠ LF a UN LP, Košice ²; Diabetologická ambulancia, Nemocnica Bory, Bratislava ³; Diabetologické oddelenie, Národný endokrinologický a diabetologický ústav, Ľubochňa ⁴
Published in the journal: Forum Diab 2023; 12(3): 77-84
Category: Original Article

Summary

Gestational diabetes mellitus (GDM) is one of the most common complications in pregnancy, seriously affecting the health of both mother and baby. The aim of the study was to find out the prevalence of GDM in its tribe, to map the screening of GDM during pregnancy and postpartum follow-up of patients with GDM from data of Dôvera Health Insurance Company (DZP). Between 2015 and 2022, the prevalence of GDM in the DZP among insurees averaged 12.5%, with a significant increase in the prevalence of GDM from 11.6% to 13.3% over the study period. The prevalence of GDM also increased significantly with the age of pregnant women. Significant differences in prevalence were also observed in different regions of Slovakia. For early diagnosis of GDM, screening by oral glucose tolerance test (oGTT) is performed in Slovakia, which is usually performed between 24–28 weeks of gestation. The analysis of DZP data shows that 58.9% of insured women were screened during pregnancy in the study period (2015–2022). Women with a history of GDM also have a higher risk of developing type 2 diabetes mellitus; therefore, glycemic control should be performed in such women no later than 6 months after delivery. Less than one-quarter of insured women (21.7%) in the GDM tribe had a postpartum check within 7 months of delivery, and 32.9% of insured women had their glycemia checked within a year after delivery.

Keywords:

gestational diabetes mellitus (GDM) – glycemic control – Health Insurance Company Dôvera – oral glucose tolerance tests (oGTT) – screening for gestational diabetes

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