Prevalence and factors associated with prediabetes among postpartum gestational diabetes mellitus mothers in Besut, Terengganu, 2018-2019

Background: Gestational diabetes mellitus (GDM) is a significant health issue as it causes complications during pregnancy and after delivery to both mothers and the offspring. Postpartum GDM mothers had a higher risk of progression to diabetes and prediabetes than those with normal pregnancy. Objec...

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Main Author:	Yusof, Saidah Adilah Mohamed
Format:	Thesis
Language:	English
Published:	2021
Subjects:	R Medicine
Online Access:	http://eprints.usm.my/52031/1/Sarah%20Aqilah%20Ghazali-24%20pages.pdf
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id	my-usm-ep.52031
record_format	uketd_dc
spelling	my-usm-ep.520312022-03-24T01:45:24Z Prevalence and factors associated with prediabetes among postpartum gestational diabetes mellitus mothers in Besut, Terengganu, 2018-2019 2021-06 Yusof, Saidah Adilah Mohamed R Medicine Background: Gestational diabetes mellitus (GDM) is a significant health issue as it causes complications during pregnancy and after delivery to both mothers and the offspring. Postpartum GDM mothers had a higher risk of progression to diabetes and prediabetes than those with normal pregnancy. Objective: The study aims to determine the prevalence of diabetes and prediabetes and factors associated with the development of prediabetes among postpartum GDM mothers in government health clinics of Besut, Terengganu in 2018-2019. Methodology: This was a cross-sectional secondary data review, conducted from January 2021 until May 2021. Data of postpartum mothers with history of GDM who performed postpartum glucose testing in government health clinics were acquired from Maternal Health Record Book KIK/1(b)/96. Descriptive and multiple logistic regression analysis were performed using IBM SPSS Statistics version 26 software. Result: A total of 429 cases were included. Most of the mothers with a history of GDM were less than 35 years old, 295 (68.8%), Malay ethnicity 427 (99.5%), married (99.8%), and achieved secondary education level, 240 (55.9%). The prevalence of diabetes and prediabetes was 2.3% (95% CI 1.6%, 3.0%) and 13.8% (95% CI 12.1%, 15.5%), respectively. Significant associations were found between previous history of GDM (Adj. OR 3.28; 95% CI 1.83, 5.87; p < 0.001) and insulin usage (Adj. OR 2.75; 95% CI 1.51, 4.99; p= 0.001) with development of prediabetes at postpartum period. Conclusion: The prevalence of diabetes and prediabetes among postpartum GDM mothers in Besut district was as high as other studies in Malaysia and globally. Women with a previous history of GDM and insulin usage should be focused on prevention strategies as they were at higher risk of developing prediabetes in the postpartum period. 2021-06 Thesis http://eprints.usm.my/52031/ http://eprints.usm.my/52031/1/Sarah%20Aqilah%20Ghazali-24%20pages.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	R Medicine
spellingShingle	R Medicine Yusof, Saidah Adilah Mohamed Prevalence and factors associated with prediabetes among postpartum gestational diabetes mellitus mothers in Besut, Terengganu, 2018-2019
description	Background: Gestational diabetes mellitus (GDM) is a significant health issue as it causes complications during pregnancy and after delivery to both mothers and the offspring. Postpartum GDM mothers had a higher risk of progression to diabetes and prediabetes than those with normal pregnancy. Objective: The study aims to determine the prevalence of diabetes and prediabetes and factors associated with the development of prediabetes among postpartum GDM mothers in government health clinics of Besut, Terengganu in 2018-2019. Methodology: This was a cross-sectional secondary data review, conducted from January 2021 until May 2021. Data of postpartum mothers with history of GDM who performed postpartum glucose testing in government health clinics were acquired from Maternal Health Record Book KIK/1(b)/96. Descriptive and multiple logistic regression analysis were performed using IBM SPSS Statistics version 26 software. Result: A total of 429 cases were included. Most of the mothers with a history of GDM were less than 35 years old, 295 (68.8%), Malay ethnicity 427 (99.5%), married (99.8%), and achieved secondary education level, 240 (55.9%). The prevalence of diabetes and prediabetes was 2.3% (95% CI 1.6%, 3.0%) and 13.8% (95% CI 12.1%, 15.5%), respectively. Significant associations were found between previous history of GDM (Adj. OR 3.28; 95% CI 1.83, 5.87; p < 0.001) and insulin usage (Adj. OR 2.75; 95% CI 1.51, 4.99; p= 0.001) with development of prediabetes at postpartum period. Conclusion: The prevalence of diabetes and prediabetes among postpartum GDM mothers in Besut district was as high as other studies in Malaysia and globally. Women with a previous history of GDM and insulin usage should be focused on prevention strategies as they were at higher risk of developing prediabetes in the postpartum period.
format	Thesis
qualification_level	Master's degree
author	Yusof, Saidah Adilah Mohamed
author_facet	Yusof, Saidah Adilah Mohamed
author_sort	Yusof, Saidah Adilah Mohamed
title	Prevalence and factors associated with prediabetes among postpartum gestational diabetes mellitus mothers in Besut, Terengganu, 2018-2019
title_short	Prevalence and factors associated with prediabetes among postpartum gestational diabetes mellitus mothers in Besut, Terengganu, 2018-2019
title_full	Prevalence and factors associated with prediabetes among postpartum gestational diabetes mellitus mothers in Besut, Terengganu, 2018-2019
title_fullStr	Prevalence and factors associated with prediabetes among postpartum gestational diabetes mellitus mothers in Besut, Terengganu, 2018-2019
title_full_unstemmed	Prevalence and factors associated with prediabetes among postpartum gestational diabetes mellitus mothers in Besut, Terengganu, 2018-2019
title_sort	prevalence and factors associated with prediabetes among postpartum gestational diabetes mellitus mothers in besut, terengganu, 2018-2019
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Perubatan
publishDate	2021
url	http://eprints.usm.my/52031/1/Sarah%20Aqilah%20Ghazali-24%20pages.pdf
_version_	1747822125898530816

Prevalence and factors associated with prediabetes among postpartum gestational diabetes mellitus mothers in Besut, Terengganu, 2018-2019

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