{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,4]],"date-time":"2026-01-04T04:09:11Z","timestamp":1767499751266},"reference-count":15,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2014,6,2]],"date-time":"2014-06-02T00:00:00Z","timestamp":1401667200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet. Med."],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To determine the performance of a fasting glucose sample compared with a full oral glucose tolerance test for the detection of glucose abnormalities in a diverse ethnic population after gestational diabetes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Oral glucose tolerance test results for women attending post\u2010natal testing over a 10\u2010year (2003\u20132013) period at St Mary's Hospital, Manchester, <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content> were reviewed. Demographic data were also extracted from the hospital maternity database.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The average attendance for a post\u2010natal oral glucose tolerance test was approximately 45% over the study period. The prevalence of diabetes was 4.8% (30\/629), with a higher rate in women of Asian ethnicity compared with other groups (6.6% vs. 3.5%). The sensitivity for a fasting plasma glucose of \u2265\u00a06.1\u00a0mmol\/l was 90% (95%\u00a0<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 74.4\u201396.5%) for the detection of diabetes and 61% (49.1\u201371.5%) for the detection of diabetes and\/or impaired glucose tolerance, with specificities of 91% (88.8\u201393.3%) and 93% (91.0\u201395.2%), respectively. The positive and negative likelihood ratios for diabetes and impaired glucose tolerance were 10.4 (7.8\u201313.8), 0.11 (0.03\u20130.32) and 9.2 (6.4\u201313.3), 0.42 (0.31\u20130.56), respectively. A fasting plasma glucose threshold of 5.6\u00a0mmol\/l improved the sensitivity for impaired glucose tolerance (from 61% to 77%), but made no difference to the sensitivity for diabetes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The current study has demonstrated that detection of diabetes after gestational diabetes, in an ethnically diverse population using a fasting plasma glucose only, was approximately 90%. Compliance with post\u2010natal screening might improve if women attended for a fasting plasma glucose only; this strategy would identify approximately 90% of cases of diabetes and 40% of cases of impaired glucose tolerance.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dme.12503","type":"journal-article","created":{"date-parts":[[2014,5,19]],"date-time":"2014-05-19T14:04:54Z","timestamp":1400508294000},"page":"1133-1137","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Post\u2010natal assessment of gestational diabetes: fasting glucose or full glucose tolerance test?"],"prefix":"10.1111","volume":"31","author":[{"given":"J. E.","family":"Myers","sequence":"first","affiliation":[{"name":"Maternal and Fetal Health Research Centre Manchester Academic Health Science Centre University of Manchester Central Manchester NHS Trust Manchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"X.","family":"Hasan","sequence":"additional","affiliation":[{"name":"Maternal and Fetal Health Research Centre Manchester Academic Health Science Centre University of Manchester Central Manchester NHS Trust Manchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. J. A.","family":"Maresh","sequence":"additional","affiliation":[{"name":"Maternal and Fetal Health Research Centre Manchester Academic Health Science Centre University of Manchester Central Manchester NHS Trust Manchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,6,2]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabet.2010.11.011"},{"key":"e_1_2_6_3_1","unstructured":"NICE.Management of diabetes and its complications from pre\u2010conception to the post\u2010natal period.2008. Available athttp:\/\/guidance.nice.org.uk\/CG63\/NICEGuidance\/pdf\/EnglishLast accessed 21 May 2014."},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2275"},{"key":"e_1_2_6_5_1","first-page":"A124","article-title":"Postpartum screening for diabetes among women with a history of gestational diabetes mellitus","volume":"8","author":"Tovar A","year":"2011","journal-title":"Prev Chronic Dis"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-5491.2003.00974.x"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2010.03001.x"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2003.09.021"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc07-s221"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1701-2163(16)32230-7"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2012.03325.x"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4471-1680-6_19"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa042973"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0707943"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/0140-6736(92)91342-6"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.12382"}],"container-title":["Diabetic Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fdme.12503","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/dme.12503","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T05:27:23Z","timestamp":1696224443000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/dme.12503"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,6,2]]},"references-count":15,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2014,9]]}},"alternative-id":["10.1111\/dme.12503"],"URL":"https:\/\/doi.org\/10.1111\/dme.12503","archive":["Portico"],"relation":{},"ISSN":["0742-3071","1464-5491"],"issn-type":[{"value":"0742-3071","type":"print"},{"value":"1464-5491","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,6,2]]},"assertion":[{"value":"2014-01-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-05-13","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-06-02","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}