{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:48:19Z","timestamp":1787014099818,"version":"build-2736575974"},"reference-count":48,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,11,27]],"date-time":"2024-11-27T00:00:00Z","timestamp":1732665600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,11,27]],"date-time":"2024-11-27T00:00:00Z","timestamp":1732665600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["dom-pubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Obesity Metabolism"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Women with gestational diabetes (GDM) have increased lifetime risk of developing diabetes. We aim to\u00a0determine the factors contributing to poor adherence of the postpartum oral glucose tolerance test (OGTT) and identify key predictors to postpartum dysglycaemia in our Asian cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We conducted a retrospective cohort study of women with high\u2010risk GDM (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009561). High\u2010risk women with GDM were defined as (1) women with diabetic\u2010range glucose excursions on an antepartum OGTT, (2) women diagnosed GDM on early OGTT and (3) women requiring \u226520\u2009units of insulin during antepartum period. We use logistic regression predictive models to associate maternal variables with postpartum OGTT attendance and glucose tolerance status postnatally.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Between March 2020 to March 2024, 58.7% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009329) of women returned for postpartum OGTT. Predictors for attendance of postpartum OGTT were Chinese ethnicity (odds ratio [OR] 2.11, 95% confidence interval [CI] [1.14\u20133.89]), pre\u2010pregnancy body mass index (BMI) (OR 0.95 [95% CI 0.90\u20130.99]), first GDM (OR 2.34 [95% CI 1.39\u20133.96]) and 2\u2010h glucose threshold on antepartum OGTT (OR 0.87 [95% CI 0.76\u20130.99]). Ethnicity influences postnatal dysglycaemia outcomes in our cohort. Chinese women, compared to women of Malay ethnicity, had a 4.5\u2010odds of persistent postpartum dysglycaemia. An antenatal HbA1c of \u22655.7% and an elevated 2\u2010h post\u2010OGTT glucose value significantly predict postpartum dysglycaemia independent of ethnicity.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Ethnicity\u2010specific prediction models integrating antepartum OGTT and HbA1c predict postpartum dysglycaemia in a multiethnic Southeast Asian cohort. Using these predictive models, we could identify high\u2010risk patients for early intervention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dom.16085","type":"journal-article","created":{"date-parts":[[2024,11,27]],"date-time":"2024-11-27T22:53:42Z","timestamp":1732748022000},"page":"845-855","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Postnatal glycaemic outcomes in women with high\u2010risk gestational diabetes: Identifying key predictors for early intervention"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4172-1344","authenticated-orcid":false,"given":"Pei Chia","family":"Eng","sequence":"first","affiliation":[{"name":"Division of Endocrinology, Department of Medicine, National University Health Systems National University Hospital  Singapore"},{"name":"Divsion of Diabetes, Endocrinology and Metabolism Imperial College London  London UK"},{"name":"Department of Medicine, Yong Loo Lin School of Medicine National University of Singapore  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soo Hoon","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Medicine, Yong Loo Lin School of Medicine National University of Singapore  Singapore Singapore"},{"name":"Department of Management Old Dominion University  Norfolk Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8832-0409","authenticated-orcid":false,"given":"Ada Ee","family":"Der Teo","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Department of Medicine, National University Health Systems National University Hospital  Singapore"},{"name":"Department of Medicine, Yong Loo Lin School of Medicine National University of Singapore  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-7354-6748","authenticated-orcid":false,"given":"Dawn Se Teng","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Medicine, Yong Loo Lin School of Medicine National University of Singapore  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lyeann Li Ying","family":"Tan","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Department of Medicine, National University Health Systems National University Hospital  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guat Kian","family":"Tan","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Department of Medicine, National University Health Systems National University Hospital  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2929-8966","authenticated-orcid":false,"given":"E. 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