P137 Follow up screening for diabetes after gestational diabetes 2019 versus 2022

Published Date: 25th April 2023

Publication Authors: McNulty S, Milne R, Gallagher CG, Pankaja S, Christian S, Davies H, Bujawansa S

Aims
NICE guidelines for screening state that all GDM patients should be screened for diabetes at 6 to 12 weeks postpartum. Previous published data have given a national rate of less than 20% [1]. Our previously published data showed a 45% follow up [2]. We re-reviewed our screening rate after the interventions of: discussion with and written instructions to patients at first and last visit, with copying written instructions to patients' GPs.

Methods
We reviewed our joint diabetes antenatal clinic (JANC) new patient lists from November 2021 through to January 2022 collecting demographic data (including post codes), diagnosis, estimated date of delivery, HbA1c at diagnosis and follow up screening (type, date and result).

Results
62 patients (aged 20–51 years) were identified of which 54 had GDM. Patients came from various post codes – 7 Liverpool, 6 Warrington and 1 Chester. All the OGTTs were diagnostic. HbA1c at first visit for our GDM population ranged between 23–44mmol/mol. Twenty four patients had follow up screening of which 21 were HbA1c. Nineteen patients were at moderate risk, two at high risk and none had confirmed type 2 diabetes.

Conclusion
With this extensive intervention we were able to demonstrate at least 44% follow up screening of our GDM patient (twice the national average). This figure maybe higher as we service patients from outside of our CCG and therefore some of the patients who appear not to have had a follow up screen may have had them through different laboratories.

 

Gallagher, CG; Christian, SC; Pankaja, SP; McNulty, SM; Davies, HD; Milne, RM; Bujawansa, SB. (2023). P277 Patient and public involvement (PPI) exploring the experiences of women with gestational diabetes attending a joint diabetes antenatal clinic. Diabetic Medicine. 40(S1), p.149. [Online]. Available at: https://doi.org/10.1111/dme.15048 [Accessed 31 July 2023]

 

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