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Type 2 diabetes after a pregnancy with gestational diabetes among First Nations women in Australia: the PANDORA study.

Date

2021

Authors

Wood, A.J.
Boyle, J.A.
Lm Barr, E.
Barzi, F.
Hare, M.J.L.
Titmuss, A.
Longmore, D.K.
Death, E.
Kelaart, J.
Kirkwood, M.

Editors

Advisors

Journal Title

Journal ISSN

Volume Title

Type:

Journal article

Citation

Diabetes Research and Clinical Practice, 2021; 181(article no. 109092):1-10

Statement of Responsibility

Anna J. Wood, Jacqueline A. Boyle, Elizabeth L.M. Barr, Federica Barzi, Matthew J.L. Hare, Angela Titmuss, Danielle K. Longmore, Elizabeth Death, Joanna Kelaart, Marie Kirkwood, Sian Graham, Christine Connors, Elizabeth Moore, Kerin O, Dea, Jeremy J.N. Oats, Harold D. McIntyre, Paul Z. Zimmet, Zhong X. Lu, Alex Brown, Jonathan E. Shaw, Louise J. Maple-Brown

Conference Name

DOI

10.1016/j.diabres.2021.109092

Abstract

Aims: To determine among First Nations and Europid pregnant women the cumulative incidence and predictors of postpartum type 2 diabetes and prediabetes and describe post-partum cardiovascular disease (CVD) risk profiles. Methods: PANDORA is a prospective longitudinal cohort of women recruited in pregnancy.Ethnic-specific rates of postpartum type 2 diabetes and prediabetes were reported for women with diabetes in pregnancy (DIP), gestational diabetes (GDM) or normoglycaemia in pregnancy over a short follow-up of 2.5 years (n = 325). Pregnancy characteristics and CVD risk profiles according to glycaemic status, and factors associated with postpartum diabetes/prediabetes were examined in First Nations women. Results: The cumulative incidence of postpartum type 2 diabetes among women with DI Por GDM were higher for First Nations women (48%, 13/27, women with DIP, 13%, 11/82, GDM), compared to Europid women (nil DIP or GDM p < 0.001). Characteristics associated with type 2 diabetes/prediabetes among First Nations women with GDM/DIP included, older age, multiparity, family history of diabetes, higher glucose values, insulin use and body mass index (BMI). Conclusions: First Nations women experience a high incidence of postpartum type 2 diabetes after GDM/DIP, highlighting the need for culturally responsive policies at an individual and systems level, to prevent diabetes and its complications.

School/Discipline

Dissertation Note

Provenance

Description

Data source: Supplementary data, https://doi.org/10.1016/j.diabres.2021.109092 Link to a related website: https://doi.org/10.1016/j.diabres.2024.111687, Corrigendum

Access Status

Rights

© 2021 The Author(s). Published by Elsevier B.V. Thisis an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)

License

Grant ID

http://purl.org/au-research/grants/nhmrc/1032116
 http://purl.org/au-research/grants/nhmrc/1078333
 http://purl.org/au-research/grants/nhmrc/1151049
 http://purl.org/au-research/grants/nhmrc/605837
 http://purl.org/au-research/grants/nhmrc/1078477
 http://purl.org/au-research/grants/nhmrc/1137563
 http://purl.org/au-research/grants/nhmrc/1079438

Published Version

https://doi.org/10.1016/j.diabres.2021.109092

Call number

Persistent link to this record

https://hdl.handle.net/2440/133456