{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T16:12:30Z","timestamp":1788883950455,"version":"build-2803163510"},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,3,17]],"date-time":"2016-03-17T00:00:00Z","timestamp":1458172800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"International Diabetes Federation","award":["ST09-016"],"award-info":[{"award-number":["ST09-016"]}]},{"name":"Lilly Diabetes"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet. Med."],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To investigate the distribution of and risk factors for dysglycaemia (Type 2 diabetes and prediabetes) in women with previous gestational diabetes mellitus in India.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All women (<jats:italic>n<\/jats:italic> = 989) from two obstetric units in New Delhi and Hyderabad with a history of gestational diabetes were invited to participate, of whom 366 (37%) agreed. Sociodemographic, medical and anthropometric data were collected and 75\u2010g oral glucose tolerance test were carried out.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Within 5 years (median 14 months) of the pregnancy in which they were diagnosed with gestational diabetes, 263 (72%) women were dysglycaemic, including 119 (32%) and 144 (40%) with Type 2 diabetes and prediabetes, respectively. A higher <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> [odds ratio 1.16 per 1\u2010kg\/m<jats:sup>2<\/jats:sup> greater <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.10, 1.28)], presence of acanthosis nigricans [odds ratio 3.10, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> (1.64, 5.87)], postpartum screening interval [odds ratio 1.02 per 1 month greater screening interval 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> (1.01, 1.04)] and age [odds ratio 1.10 per 1\u2010year older age 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> (1.04, 1.16)] had a higher likelihood of having dysglycaemia. The American Diabetes Association\u2010recommended threshold HbA<jats:sub>1c<\/jats:sub> value of \u2265 48 mmol\/mol (6.5%) had a sensitivity and specificity of 81.4 and 90.7%, respectively, for determining the presence of Type 2 diabetes postpartum.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The high post\u2010pregnancy conversion rates of gestational diabetes to diabetes reported in the present study reinforce the need for mandatory postpartum screening and identification of strategies for preventing progression to Type 2 diabetes. Use of the American Diabetes Association\u2010recommended HbA<jats:sub>1c<\/jats:sub> threshold for diabetes may lead to significant under\u2010diagnosis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dme.13102","type":"journal-article","created":{"date-parts":[[2016,3,1]],"date-time":"2016-03-01T12:40:21Z","timestamp":1456836021000},"page":"37-43","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":37,"title":["Conversion of gestational diabetes mellitus to future Type 2 diabetes mellitus and the predictive value of HbA<sub>1c<\/sub> in an Indian cohort"],"prefix":"10.1111","volume":"34","author":[{"given":"Y.","family":"Gupta","sequence":"first","affiliation":[{"name":"Department of Endocrinology All India Institute of Medical Sciences New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Kapoor","sequence":"additional","affiliation":[{"name":"Centre for Chronic Disease Control Gurgaon India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Desai","sequence":"additional","affiliation":[{"name":"Endocrine Unit\u2010Department of Medicine Goa Medical College Goa India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Praveen","sequence":"additional","affiliation":[{"name":"Division of Epidemiology George Institute for Global Health Hyderabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Joshi","sequence":"additional","affiliation":[{"name":"George Institute for Global Health University of Sydney Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Rozati","sequence":"additional","affiliation":[{"name":"Centre for Fertility Management\u2013MHRT Hyderabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Bhatla","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology All India Institute of Medical Sciences New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Prabhakaran","sequence":"additional","affiliation":[{"name":"Centre for Chronic Disease Control Gurgaon India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Reddy","sequence":"additional","affiliation":[{"name":"School of Medicine and Public Health University of Newcastle and St Vincents Health Network Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Patel","sequence":"additional","affiliation":[{"name":"George Institute for Global Health University of Sydney Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Tandon","sequence":"additional","affiliation":[{"name":"Department of Endocrinology All India Institute of Medical Sciences New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,3,17]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)60731-5"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2013.11.003"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2013.11.011"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2007.06.002"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2004.01337.x"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.4103\/2230-8210.131205"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc14-S014"},{"key":"e_1_2_9_9_1","unstructured":"NICE clinical guideline.Diabetes in pregnancy: management of diabetes and its complications from preconception to the postnatal period 2015. Available athttp:\/\/www.nice.org.uk\/guidance\/ng3\/resources\/diabetes-in-pregnancy-managementof\u2010diabetes\u2010and\u2010its\u2010complications\u2010from\u2010preconception\u2010to\u2010the\u2010postnatal\u2010period\u201051038446021. 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