{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T04:39:15Z","timestamp":1760243955880,"version":"build-2065373602"},"reference-count":34,"publisher":"MDPI AG","issue":"21","license":[{"start":{"date-parts":[[2022,10,27]],"date-time":"2022-10-27T00:00:00Z","timestamp":1666828800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Gestational diabetes mellitus (GDM) during pregnancy is a marker for future type 2 diabetes mellitus (T2DM); therefore, a meticulous follow-up after delivery can help identify women at risk for T2DM. In a cohort of 5504 pregnant women, the postpartum follow-up of all 1043 women with GDM for hyperglycemia in a multi-ethnic, high-risk Arab population was investigated. The prevalence of GDM was 18.9%. A total of 265 (25.4%) women returned for an oral glucose tolerance test (OGTT) 4\u20136 weeks after delivery, with more South Asian than Arab women (p &lt; 0.01). The other factors associated with return were (a) family history of T2DM, (b) lower basic metabolic index, (c) higher abortions and (d) lower gravida (p &lt; 0.05), all with minimal effect. An abnormal postpartum OGTT was statistically associated with previous GDM history and hypoglycemic drug treatment, although these effects were small. Overall, the follow-up of women with GDM postpartum was dismal, ethnicity being the major factor influencing return. Urgent public measures are needed to educate women with GDM about follow-up highlighting (a) risk awareness for T2DM and (b) a healthy lifestyle after childbirth\u2014if we are to turn the tide on the epidemic of T2DM plaguing the Arab world.<\/jats:p>","DOI":"10.3390\/ijerph192113946","type":"journal-article","created":{"date-parts":[[2022,10,27]],"date-time":"2022-10-27T04:35:17Z","timestamp":1666845317000},"page":"13946","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Gestational Diabetes Mellitus in a Multi-Ethnic, High-Risk Population: Adequacy of Screening for Diabetes Mellitus 6 Weeks after Delivery"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6171-1645","authenticated-orcid":false,"given":"Mukesh M.","family":"Agarwal","sequence":"first","affiliation":[{"name":"Department of Pathology, Faculty of Medicine, California University of Science and Medicine, Colton, CA 92324, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Madan","family":"Lal","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Saint Luke\u2019s General Hospital, R95 FY71 Kilkenny, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chintan D.","family":"Vyas","sequence":"additional","affiliation":[{"name":"Department of Medicine, Burjeel Medical Center, Al Ain P.O. Box 103500, United Arab Emirates"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,10,27]]},"reference":[{"key":"ref_1","first-page":"278","article-title":"Criteria for the oral glucose tolerance test in pregnancy","volume":"13","author":"Mahan","year":"1964","journal-title":"Diabetes"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1016\/S0029-7844(97)00542-5","article-title":"Pregnancy outcomes in women with gestational diabetes compared with the general obstetric population","volume":"9","author":"Casey","year":"1997","journal-title":"Obstet. Gynecol."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Wendland, E.M., Torloni, M.R., and Falavigna, M. (2012). Gestational diabetes and pregnancy outcomes-a systematic review of the World Health Organization (WHO) and the International Association of Diabetes inpregnancy study groups (IADPSG) diagnostic criteria. 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