{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T00:02:27Z","timestamp":1784332947438,"version":"3.55.0"},"reference-count":7,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"abstract":"Abstract<\/jats:title>\n To evaluate whether the clinician specialty managing gestational diabetes mellitus (GDM) during pregnancy is associated with postpartum 2-hour oral glucose tolerance testing (OGTT) completion and long-term risk of type 2 diabetes mellitus (T2DM).<\/jats:p>\n We performed a retrospective cohort study of individuals with GDM who delivered at a single academic center from 2016 to 2020. Patients were categorized according to primary GDM managing clinician type: Maternal-Fetal Medicine (MFM), Endocrinology (Endo), or Obstetrics\/Family Medicine (OB\/FM). The primary outcome was completion of postpartum 2-hour OGTT within 12 weeks of delivery. Secondary outcomes included abnormal postpartum OGTT and diagnosis of T2DM within 5 years postpartum. Multivariable logistic regression models were adjusted for nulliparity, GDM managed with medications, insurance status, and chronic hypertension.<\/jats:p>\n Among 715 individuals with GDM, 27% were managed by MFM, 20% by Endo, and 53% by OB\/FM. Overall, 13.3% were diagnosed with T2DM within 5 years postpartum. Postpartum OGTT completion rates were similar among Endo (29.8%), MFM (24.2%), and OB\/FM (26.1%) groups (p\u2009=\u20090.52). In adjusted analyses, clinician type was not associated with completion of postpartum OGTT or abnormal OGTT results. Compared with endocrinology management, OB\/FM care was associated with lower crude odds of T2DM diagnosis at 5 years (odds ratio [OR], 0.55; 95% confidence interval [CI], 0.30\u20130.99), although this association was no longer significant after adjustment (adjusted OR [aOR], 0.56; 95% CI, 0.30\u20131.06).<\/jats:p>\n Clinician specialty type managing GDM was not associated with postpartum diabetes screening completion or long-term risk of T2DM. These findings suggest that provider specialty alone may not meaningfully influence postpartum diabetes surveillance or long-term metabolic outcomes and underscore the need for system-level interventions to improve care transitions after GDM, such as immediate postpartum testing during hospital stay after birth.<\/jats:p>","DOI":"10.1055\/a-2903-4140","type":"journal-article","created":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T23:02:42Z","timestamp":1784329362000},"source":"Crossref","is-referenced-by-count":0,"title":["Association of Gestational Diabetes Clinician Type with Postpartum Screening and Risk of Type 2 Diabetes Mellitus"],"prefix":"10.1055","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2092-9576","authenticated-orcid":false,"given":"Brock E.","family":"Polnaszek","sequence":"additional","affiliation":[{"name":"Medical College of Wisconsin, Wisconsin, United States","place":["Milwaukee"],"department":["Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Chung","sequence":"additional","affiliation":[{"name":"Medical College of Wisconsin, Wisconsin, United States","place":["Milwaukee"],"department":["Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meredith","family":"Cruz","sequence":"additional","affiliation":[{"name":"Medical College of Wisconsin, Wisconsin, United States","place":["Milwaukee"],"department":["Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Harrison","sequence":"additional","affiliation":[{"name":"Medical College of Wisconsin, Wisconsin, United States","place":["Milwaukee"],"department":["Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6568-0201","authenticated-orcid":false,"given":"Anna","family":"Palatnik","sequence":"additional","affiliation":[{"name":"Medical College of Wisconsin, Wisconsin, United States","place":["Milwaukee"],"department":["Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,7,17]]},"reference":[{"issue":"S 01","key":"ref1","first-page":"S20","article-title":"American Diabetes Association Professional Practice Committee. 2. Diagnosis and classification of diabetes: standards of care in diabetes-2024","volume":"47","year":"2024","journal-title":"Diabetes Care"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"e49","DOI":"10.1097\/AOG.0000000000002501","article-title":"ACOG Practice Bulletin No. 190: gestational diabetes mellitus","volume":"131","year":"2018","journal-title":"Obstet Gynecol"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1089\/jwh.2010.2233","article-title":"Barriers to and facilitators of postpartum follow-up care in women with recent gestational diabetes mellitus: a qualitative study","volume":"20","author":"W L Bennett","year":"2011","journal-title":"J Womens Health (Larchmt)"},{"issue":"06","key":"ref4","first-page":"A124","article-title":"Postpartum screening for diabetes among women with a history of gestational diabetes mellitus","volume":"8","author":"A Tovar","year":"2011","journal-title":"Prev Chronic Dis"},{"issue":"10","key":"ref5","doi-asserted-by":"crossref","first-page":"1862","DOI":"10.2337\/diacare.25.10.1862","article-title":"Gestational diabetes and the incidence of type 2 diabetes: a systematic review","volume":"25","author":"C Kim","year":"2002","journal-title":"Diabetes Care"},{"issue":"03","key":"ref6","doi-asserted-by":"crossref","first-page":"439.e1","DOI":"10.1016\/j.ajog.2020.05.036","article-title":"Two-day postpartum compared with 4- to 12-week postpartum glucose tolerance testing for women with gestational diabetes","volume":"223","author":"E F Werner","year":"2020","journal-title":"Am J Obstet Gynecol"},{"issue":"08","key":"ref7","doi-asserted-by":"crossref","first-page":"969","DOI":"10.1055\/a-2257-3341","article-title":"Implementation of in-hospital postpartum glucose tolerance testing for people with gestational diabetes","volume":"41","author":"N K Ayala","year":"2024","journal-title":"Am J Perinatol"}],"container-title":["American Journal of Perinatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2903-4140.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T23:02:51Z","timestamp":1784329371000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2903-4140"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,17]]},"references-count":7,"URL":"https:\/\/doi.org\/10.1055\/a-2903-4140","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0735-1631","1098-8785"],"issn-type":[{"value":"0735-1631","type":"print"},{"value":"1098-8785","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,17]]}}}