Gestational Diabetes: Importance of Follow-up Screening for the Benefit of Long-term Health

Obstet Gynecol Clin North Am. 2020 Sep;47(3):383-396. doi: 10.1016/j.ogc.2020.04.002. Epub 2020 May 31.


Gestational diabetes mellitus (GDM) is the most common obstetric metabolic disorder. Long-term health consequences, including type 2 diabetes, metabolic syndrome, and cardiovascular disease, are common with GDM. Postpartum glucose screening is recommended for women with a prior GDM pregnancy. Rates of postpartum screening compliance remain low. Interventions ranging from appointment reminder systems to personalized chronic disease education are being used, emphasizing future chronic disease risk for patients with a history of GDM. With these practice changes, clinicians can more thoroughly engage in the early identification, intervention, and prevention of chronic disease for women with a history of GDM.

Keywords: Gestational diabetes; Glucose intolerance; Insulin resistance; Postpartum glucose testing.

Publication types

  • Review

MeSH terms

  • Adult
  • Blood Glucose / analysis
  • Cardiovascular Diseases / diagnosis
  • Cardiovascular Diseases / epidemiology
  • Diabetes Mellitus, Type 2 / diagnosis
  • Diabetes Mellitus, Type 2 / epidemiology
  • Diabetes, Gestational / diagnosis*
  • Diabetes, Gestational / epidemiology
  • Female
  • Follow-Up Studies
  • Glucose Intolerance / diagnosis
  • Glucose Intolerance / epidemiology
  • Glucose Tolerance Test / methods
  • Humans
  • Mass Screening / methods*
  • Metabolic Syndrome / diagnosis
  • Metabolic Syndrome / epidemiology
  • Postpartum Period*
  • Pregnancy
  • Risk Factors


  • Blood Glucose