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International Journal of Endocrinology
Volume 2017, Article ID 3971914, 9 pages
https://doi.org/10.1155/2017/3971914
Research Article

Implementing a Reminder System in the Northern Part of Belgium to Stimulate Postpartum Screening for Glucose Intolerance in Women with Gestational Diabetes: The “Sweet Pregnancy” Project

1Department of Endocrinology, UZ Gasthuisberg, KU Leuven, Leuven, Belgium
2Diabetes Liga, Ghent, Belgium
3Department of Endocrinology, AZ Jan Portaels, Vilvoorde, Belgium
4Department of Obstetrics & Gynecology, UZ Gasthuisberg, KU Leuven, Leuven, Belgium
5Department of Endocrinology, OLV Aalst-Asse-Ninove, Aalst, Belgium
6Department of Endocrinology, AZ Jan Palfijn, Merksem, Belgium
7Department of Primary and Interdisciplinary Care, University of Antwerp, Wilrijk, Belgium

Correspondence should be addressed to Katrien Benhalima; eb.nevuelzu@amilahneb.neirtak

Received 5 March 2017; Accepted 25 May 2017; Published 9 July 2017

Academic Editor: Matteo Monami

Copyright © 2017 Katrien Benhalima et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Aims. To evaluate the feasibility and efficacy of a gestational diabetes (GDM) recall register on the long-term screening uptake postpartum and to evaluate the prevalence of prediabetes postpartum. Methods. Evaluation of a GDM recall register implemented in 66 obstetrical centers in the northern part of Belgium from 2009 to 2016. Registrants receive yearly reminders to have a fasting plasma glucose test in primary care to timely detect prediabetes. Results. After 6 years, 7269 women were registered. The yearly response rates varied from 74.4% after the first year to 61.8% after the fifth year. The number of women who reported a screening test varied from 67.4% after the first year to 71.9% after the fifth year. Compared to women who responded at least once to a reminder, women who never responded were more often <30 years (41.4% versus 33.9%, ) and were more often obese (29.3% versus 20.8%, ). Over a period of 6 years, 7.3% (CI 6.0%–8.8%) developed diabetes and 27.4% (CI 23.9%–31.0%) developed impaired fasting glycaemia. Conclusion. We show now the long-term feasibility and efficacy of a GDM recall register to stimulate screening postpartum. One-third of women developed prediabetes within 6 years.