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Comparative risk of type 2 diabetes development between women with gestational diabetes and women with impaired glucose tolerance over two decades

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Summary:

A multiethnic prospective cohort study has shown women with gestational diabetes, especially those over 35 years, of Māori ethnicity, or with socioeconomic deprivation, have a higher risk of type 2 diabetes compared with those with impaired glucose tolerance. The study assessed type 2 diabetes incidence over 25 years using data from a primary care dataset linked with multiple health registries. Results showed that the first 5 years post-partum are a critical window for intervention. Personalised post-gestational diabetes interventions that consider age, ethnicity, and socioeconomic status are needed to reduce the incidence of type 2 diabetes, the study authors concluded.

Comment:
Two papers highlighting the increased risk of developing and then having long term consequences from gestational diabetes for wāhine Māori. There are also implications for pepi, who are at increased risk for metabolic related conditions, so it is critical that we manage gestational diabetes through prevention and then screening/management before and in those critical time periods after haputanga.
Reference: BMJ Open Diabetes Res Care. 2024;12(6):e004210.
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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