Return Rate for Postpartum Glucose Tolerance Test in Women Diagnosed With Gestational Diabetes

AIMS AND OBJECTIVES: To determine the return rate for postpartum glucose tolerance test in women diagnosed with gestational diabetes, correlate the follow up rate with type of GDM management and outcome and use it for patient counseling at discharge. MATERIALS AND METHODS: A retrospective analysis of all patients delivered at Christian Medical College Hospital Vellore from 01/01/2015 to 31/12/2015 was done and those who were diagnosed as GDM were followed up to assess the rate of OGTT between 6 weeks and 6 months postpartum. RESTUTS: The overall return rate for postpartum GTT was 30 %( 656/2183). Post-partum follow-up was highest for those managed with Insulin during antenatal period (53.1 %) and of these 58% had blood glucose levels in the diabetic range. CONCLUSION: Postpartum follow-up rate of patients with GDM is low overall and more alarming is the low follow-up rate of those who were managed with Oral hypoglycemic drugs and Insulin during pregnancy