Gestational Diabetes: Prevalence, Screening and Postpartum Glucose Monitoring -

מירי לוצקי ¹ Mor Saban ¹ Debbie Novick ¹ Itamar Raz ² Inbar Zucker ^1,3

¹Israel Center for Disease Control (ICDC), Ministry of Health, Israel
²Diabetes Research Center, Hadassah Hebrew University Medical Center, Jerusalem, Israel
³School of Public Health, Tel Aviv University, Tel-Aviv, Israel

Background: Gestational diabetes mellitus (GDM) affects approximately 4-10% of pregnancies. Data is lacking regarding its prevalence in Israel.

Objectives: To evaluate the compliance with GDM screening, to estimate the prevalence of GDM, and to evaluate postpartum glucose monitoring.

Methods: Population-based data for all pregnant women, who delivered during 2016, were obtained from two health maintenance organizations (HMOs) in Israel. Data included age, socioeconomic status, results of 50-g 1-h oral glucose challenge test (OGCT) and 100-g 3-h oral glucose tolerance test (OGTT), child weight, gestation week and HbA1c during the first year after delivery. Results: 105,127 pregnant women without known DM were recorded. Out of them, 15.7% (n=16,567) did not perform any GDM screening. Out of the women who performed 50-g OGCT (n=82,476), 76.5% had

Conclusions: According to our findings, high proportion of women does not perform any GDM screening. Among women with GDM, compliance with postpartum glucose follow-up is especially low. This can have a major health impact given the importance of prevention of diabetes and its complications.