Abstract
To assess the effectiveness of a phone reminder to improve adherence to post-partum glucose tolerance testing in women with gestational diabetes mellitus (GDM) and to identify clinical predictors of adherence to post-partum follow-up. Retrospective study including 543 women with GDM. We assessed the adherence rate to post-partum glucose tolerance testing in women who received a phone reminder (n=297) compared to women not alerted (n=246). Demographic and clinical variables were collected to identify the predictors of adherence to the post-partum oral glucose tolerance test (OGTT). The adherence to post-partum OGTT was higher in women who received the phone reminder compared to those not alerted (60.6% vs. 35.4%, p<0.001). Women less compliant compared to those more compliant, had a higher pre-pregnancy body mass index (BMI) (29.3±7.9 vs. 27.0±6.1 Kg/m2, p=0.03). The adherence was lower in pre-pregnant obese compared to non-obese women (42.7% vs. 52.0%, p<0.05), in women with only one, compared to multiple OGTT alterations during pregnancy (44.5% vs. 57.8%, p<0.05), and in women non-insulin treated compared to those insulin-treated (40.0% vs. 57.1% vs, p<0.001). The phone reminder improved post-partum follow-up adherence. Pre-pregnancy BMI, number of OGTT alterations and type of therapy could identify poorly adherent women.
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