{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T07:15:30Z","timestamp":1793171730091,"version":"4.5.0"},"reference-count":137,"publisher":"BMJ","license":[{"start":{"date-parts":[[2023,7,4]],"date-time":"2023-07-04T00:00:00Z","timestamp":1688428800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Gestational diabetes mellitus (GDM) and polycystic ovarian syndrome (PCOS) represent two of the highest risk factors for development of type 2 diabetes mellitus in young women. As these increasingly common conditions generally affect younger women, early detection of dysglycemia is key if preventative measures are to be effective. While international guidance recommends screening for type 2 diabetes, current screening strategies suffer from significant challenges.<\/jats:p>\n                  <jats:p>First, guidance lacks consensus in defining which tests to use and frequency of monitoring, thereby sending mixed messages to healthcare professionals.<\/jats:p>\n                  <jats:p>Second, conformity to guidance is poor, with only a minority of women having tests at the recommended frequency (where specified). Approaches to improve conformity have focused on healthcare related factors (largely technology driven reminder systems), but patient factors such as convenience and clear messaging around risk have been neglected.<\/jats:p>\n                  <jats:p>Third, and most critically, current screening strategies are too generic and rely on tests that become abnormal far too late in the trajectory towards dysglycemia to offer opportunities for effective preventative measures. Risk factors show wide interindividual variation, and insulin sensitivity and \u03b2 cell function are often abnormal during pre-diabetes stage, well before frank diabetes.<\/jats:p>\n                  <jats:p>New, consistent, targeted screening strategies are required that incorporate early, prevention focused testing and personalised risk stratification.<\/jats:p>","DOI":"10.1136\/bmj-2022-071675","type":"journal-article","created":{"date-parts":[[2023,7,4]],"date-time":"2023-07-04T08:04:28Z","timestamp":1688457868000},"page":"e071675","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":24,"title":["Diabetes detection in women with gestational diabetes and polycystic ovarian syndrome"],"prefix":"10.1136","volume":"382","author":[{"given":"Fahmy","family":"Hanna","sequence":"first","affiliation":[{"name":"Department of Diabetes and Endocrinology, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, Staffordshire, UK"},{"name":"Centre for Health and Development, Staffordshire University, Staffordshire UK"},{"name":"School of Medicine, Keele University, Keele, Staffordshire, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pensee","family":"Wu","sequence":"additional","affiliation":[{"name":"School of Medicine, Keele University, Keele, Staffordshire, UK"},{"name":"Department of Obstetrics and Gynaecology, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, Staffordshire, UK"},{"name":"Department of Obstetrics and Gynecology, College of Medicine, National Cheng Kung University, Tainan, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian","family":"Heald","sequence":"additional","affiliation":[{"name":"Department of Diabetes and Endocrinology, Salford Royal NHS Foundation Trust, Salford, UK"},{"name":"School of Medicine and Manchester Academic Health Sciences Centre, University of Manchester, Manchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Fryer","sequence":"additional","affiliation":[{"name":"School of Medicine, Keele University, Keele, Staffordshire, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,7,4]]},"reference":[{"key":"2025110102035801000_382.jul04_4.e071675.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)60731-5"},{"key":"2025110102035801000_382.jul04_4.e071675.2","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmy007"},{"key":"2025110102035801000_382.jul04_4.e071675.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)60484-9"},{"key":"2025110102035801000_382.jul04_4.e071675.4","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2011-1677"},{"key":"2025110102035801000_382.jul04_4.e071675.5","doi-asserted-by":"publisher","DOI":"10.1186\/s13098-019-0406-1"},{"key":"2025110102035801000_382.jul04_4.e071675.6","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmy022"},{"key":"2025110102035801000_382.jul04_4.e071675.7","unstructured":"Federation ID. 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