Risk of developing Type 2 diabetes mellitus in South Asian women with history of gestational diabetes mellitus: A systematic review and meta-analysis

Background: Gestational diabetes mellitus (GDM) and type 2 diabetes mellitus (T2DM) represent two different components of the spectrum of diabetes mellitus (DM). Women with GDM have a high chance of developing T2DM in later life and this relative risk depends on a number of factors including ethnici...

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Autores principales:	Sharvil S Gadve, Sneha Chavanda, Aridita Datta Mukherjee, Sahid Aziz, Ameya Joshi, Milind Patwardhan
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer Medknow Publications 2021
Materias:	gdm pregnancy south asian women systematic review type 2 diabetes mellitus Diseases of the endocrine glands. Clinical endocrinology RC648-665 Diseases of the digestive system. Gastroenterology RC799-869
Acceso en línea:	https://doaj.org/article/6e21d899ef904cf1b743e1c352acc5a5
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spelling	oai:doaj.org-article:6e21d899ef904cf1b743e1c352acc5a52021-11-12T10:10:55ZRisk of developing Type 2 diabetes mellitus in South Asian women with history of gestational diabetes mellitus: A systematic review and meta-analysis2230-821010.4103/ijem.IJEM_57_21https://doaj.org/article/6e21d899ef904cf1b743e1c352acc5a52021-01-01T00:00:00Zhttp://www.ijem.in/article.asp?issn=2230-8210;year=2021;volume=25;issue=3;spage=176;epage=181;aulast=Gadvehttps://doaj.org/toc/2230-8210Background: Gestational diabetes mellitus (GDM) and type 2 diabetes mellitus (T2DM) represent two different components of the spectrum of diabetes mellitus (DM). Women with GDM have a high chance of developing T2DM in later life and this relative risk depends on a number of factors including ethnicity. Aim: To compare and estimate the risk of developing T2DM in South Asian women with a history of GDM compared to those without a history of GDM. Methods: This is a systematic review of PubMed and MEDLINE articles reporting the progression of GDM to T2DM that were published in English from 2000 to 2020. We performed meta-analysis to calculate risk ratios (RR). Results: We selected 6 studies considering the inclusion and exclusion criteria after sorting 25 full-text articles. Of the 44165 South Asian women assessed, 3095 had GDM and 41070 were without GDM. 995 women in GDM group and 1525 women in non-GDM group had developed T2DM. The RR of women with GDM over non-GDM in developing T2DM was 10.81 (95% confidence interval (CI): 7.61–15.35) suggesting that women with GDM are at 10.81 times more risk of developing T2DM than non-GDM. The cumulative incidence of T2DM in GDM group was 17.34% at 5 years of follow-up and 33% at more than 10 years of follow-up. Conclusion: The risk of developing T2DM in later life is higher in South Asian women with GDM than without GDM. Therefore, lifestyle and pharmacological interventions, patient communication, timely screening, and long-term follow-up of GDM patients are important to reduce the risk.Sharvil S GadveSneha ChavandaAridita Datta MukherjeeSahid AzizAmeya JoshiMilind PatwardhanWolters Kluwer Medknow Publicationsarticlegdmpregnancysouth asian womensystematic reviewtype 2 diabetes mellitusDiseases of the endocrine glands. Clinical endocrinologyRC648-665Diseases of the digestive system. GastroenterologyRC799-869ENIndian Journal of Endocrinology and Metabolism, Vol 25, Iss 3, Pp 176-181 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	gdm pregnancy south asian women systematic review type 2 diabetes mellitus Diseases of the endocrine glands. Clinical endocrinology RC648-665 Diseases of the digestive system. Gastroenterology RC799-869
spellingShingle	gdm pregnancy south asian women systematic review type 2 diabetes mellitus Diseases of the endocrine glands. Clinical endocrinology RC648-665 Diseases of the digestive system. Gastroenterology RC799-869 Sharvil S Gadve Sneha Chavanda Aridita Datta Mukherjee Sahid Aziz Ameya Joshi Milind Patwardhan Risk of developing Type 2 diabetes mellitus in South Asian women with history of gestational diabetes mellitus: A systematic review and meta-analysis
description	Background: Gestational diabetes mellitus (GDM) and type 2 diabetes mellitus (T2DM) represent two different components of the spectrum of diabetes mellitus (DM). Women with GDM have a high chance of developing T2DM in later life and this relative risk depends on a number of factors including ethnicity. Aim: To compare and estimate the risk of developing T2DM in South Asian women with a history of GDM compared to those without a history of GDM. Methods: This is a systematic review of PubMed and MEDLINE articles reporting the progression of GDM to T2DM that were published in English from 2000 to 2020. We performed meta-analysis to calculate risk ratios (RR). Results: We selected 6 studies considering the inclusion and exclusion criteria after sorting 25 full-text articles. Of the 44165 South Asian women assessed, 3095 had GDM and 41070 were without GDM. 995 women in GDM group and 1525 women in non-GDM group had developed T2DM. The RR of women with GDM over non-GDM in developing T2DM was 10.81 (95% confidence interval (CI): 7.61–15.35) suggesting that women with GDM are at 10.81 times more risk of developing T2DM than non-GDM. The cumulative incidence of T2DM in GDM group was 17.34% at 5 years of follow-up and 33% at more than 10 years of follow-up. Conclusion: The risk of developing T2DM in later life is higher in South Asian women with GDM than without GDM. Therefore, lifestyle and pharmacological interventions, patient communication, timely screening, and long-term follow-up of GDM patients are important to reduce the risk.
format	article
author	Sharvil S Gadve Sneha Chavanda Aridita Datta Mukherjee Sahid Aziz Ameya Joshi Milind Patwardhan
author_facet	Sharvil S Gadve Sneha Chavanda Aridita Datta Mukherjee Sahid Aziz Ameya Joshi Milind Patwardhan
author_sort	Sharvil S Gadve
title	Risk of developing Type 2 diabetes mellitus in South Asian women with history of gestational diabetes mellitus: A systematic review and meta-analysis
title_short	Risk of developing Type 2 diabetes mellitus in South Asian women with history of gestational diabetes mellitus: A systematic review and meta-analysis
title_full	Risk of developing Type 2 diabetes mellitus in South Asian women with history of gestational diabetes mellitus: A systematic review and meta-analysis
title_fullStr	Risk of developing Type 2 diabetes mellitus in South Asian women with history of gestational diabetes mellitus: A systematic review and meta-analysis
title_full_unstemmed	Risk of developing Type 2 diabetes mellitus in South Asian women with history of gestational diabetes mellitus: A systematic review and meta-analysis
title_sort	risk of developing type 2 diabetes mellitus in south asian women with history of gestational diabetes mellitus: a systematic review and meta-analysis
publisher	Wolters Kluwer Medknow Publications
publishDate	2021
url	https://doaj.org/article/6e21d899ef904cf1b743e1c352acc5a5
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Risk of developing Type 2 diabetes mellitus in South Asian women with history of gestational diabetes mellitus: A systematic review and meta-analysis

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