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<p>Gestational diabetes mellitus (GDM) is associated with long-term consequences for mother and child that require systematic follow-up care. Usually, blood glucose levels normalize soon after delivery; however the risk of diabetes mellitus, metabolic syndrome, and cardiovascular disease remains elevated. Up to 17% of women with GDM develop type 2 diabetes within 10&#xa0;years. Thus, a&#xa0;healthy lifestyle and thorough follow-up care are essential to reduce this risk. There are several stages of follow-up care: postpartum blood glucose testing soon after delivery in women with high diabetes risk, postpartum diabetes screening (6–12&#xa0;weeks after delivery), and long-term follow-up care. Screening is of central importance, since it enables early detection and treatment of diabetes and the initiation of long-term follow-up care. However, only about 40% of women attend this important health service. Barriers include organizational challenges and lack of information. Strategies shown to improve the uptake are education programs during pregnancy and flexible testing options. Follow-up should be individualized and risk adapted. Following a&#xa0;pregnancy with GDM, women should be informed about their health risk and screened regularly for diabetes and cardiovascular risks. Lifestyle measures such as weight reduction, a&#xa0;healthy diet and exercise are effective preventive measures. It is important that the healthcare system provide support and that all healthcare providers are made aware of the increased risk of these women. Innovative approaches, such as the GestDiNa_basic project, are working on improved concepts for follow-up and education to optimize care.</p>

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Nachsorge nach Gestationsdiabetes heute

  • 期刊论文

  • 发表日期：

    2025年5月5日

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  • Heinke Adamczewski,
  • Matthias Kaltheuner

摘要

Gestational diabetes mellitus (GDM) is associated with long-term consequences for mother and child that require systematic follow-up care. Usually, blood glucose levels normalize soon after delivery; however the risk of diabetes mellitus, metabolic syndrome, and cardiovascular disease remains elevated. Up to 17% of women with GDM develop type 2 diabetes within 10 years. Thus, a healthy lifestyle and thorough follow-up care are essential to reduce this risk. There are several stages of follow-up care: postpartum blood glucose testing soon after delivery in women with high diabetes risk, postpartum diabetes screening (6–12 weeks after delivery), and long-term follow-up care. Screening is of central importance, since it enables early detection and treatment of diabetes and the initiation of long-term follow-up care. However, only about 40% of women attend this important health service. Barriers include organizational challenges and lack of information. Strategies shown to improve the uptake are education programs during pregnancy and flexible testing options. Follow-up should be individualized and risk adapted. Following a pregnancy with GDM, women should be informed about their health risk and screened regularly for diabetes and cardiovascular risks. Lifestyle measures such as weight reduction, a healthy diet and exercise are effective preventive measures. It is important that the healthcare system provide support and that all healthcare providers are made aware of the increased risk of these women. Innovative approaches, such as the GestDiNa_basic project, are working on improved concepts for follow-up and education to optimize care.