Screening for type 2 diabetes following gestational diabetes: Family physician and patient perspectives

Article Figures & Data

Table 1.

Baseline demographics of study participants, comparing survey responders with nonresponders: A) physicians, B) patients.

A)
CHARACTERISTIC	RESPONDERS, N (%) N = 173	NONRESPONDERS, N (%) N = 50	TOTAL, N (%) N = 223

Sex,^*
• Female	115 (66.5)	21 (42.0)	136 (61.0)
• Male	58 (33.5)	29 (58.0)	87 (39.0)
Year of graduation
• Before 1985	80 (46.2)	29 (58.0)	109 (48.9)
• In or after 1985	93 (53.8)	21 (42.0)	114 (51.1)
Canadian graduate
• Yes	144 (83.2)	31 (62.0)	175 (78.5)
• No	29 (16.8)	19 (38.0)	48 (21.5)
Received a reminder
• Yes	81 (46.8)	31 (62.0)	112 (50.2)
• No	92 (53.2)	19 (38.0)	111 (49.8)

B)
CHARACTERISTIC	RESPONDERS N = 140	NONRESPONDERS N = 83	TOTAL N = 223

Mean (SD) age, y	32.9 (4.2)	33.3 (4.8)	NA
Primigravida, n (%)
• Yes	43 (30.7)	27 (32.5)	70 (31.4)
• No	97 (69.3)	56 (67.5)	153 (68.6)
Mean (SD) BMI, kg/m²	27.9 (7.09)	29.9 (8.9)
Some postsecondary education, n (%)
• Yes	115 (82.1)	67 (80.7)	182 (81.6)
• No	25 (17.9)	16 (19.3)	41 (118.4)
White, n (%)
• Yes	82 (58.6)	55 (66.3)	137 (61.4)
• No	58 (41.4)	28 (33.7)	86 (38.6)
Requiring insulin, n (%)
• Yes	56 (40.0)	35 (42.2)	91 (40.8)
• No	84 (60.0)	48 (57.8)	132 (59.2)
Baby weight > 4000 g, n (%)
• Yes	16 (11.4)	16 (19.3)	32 (14.3)
• No	124 (88.6)	67 (80.7)	191 (85.7)
Received a reminder, n (%)
• Yes	118 (84.3)	39 (47.0)	157 (70.4)
• No	22 (15.7)	44 (53.0)	66 (29.6)

Table 2.

Reasons physicians provided for not screening their patients for T2DM post partum: N=63.*

REASON	RECEIVED REMINDER (N = 22)	DID NOT RECEIVE REMINDER (N = 40)
Did not see patient in the postpartum period	10	13
Saw patient in postpartum period, but did not arrange testing	2	19
Arranged testing, but it was not completed by the patient	9	3
Patient declined testing	1	1
Did not know the patient had GDM	0	3

Table 3.

Reasons patients gave for not completing screening for T2DM using OGTTs post partum: N=36.*

REASON	N
Time pressures	20
Lost requisition	7
Did not know it was necessary	2
Pregnant again	1
Did self-glucose monitoring instead	1
Physician did not think it necessary	1
Physician did not suggest	1
Breastfeeding	1
Moved	1
Did not want to do it	1

Table 4.

Physician and patient perspectives on who should provide screening post partum

WHO SHOULD PROVIDE SCREENING	PHYSICIANS, N (%) N = 170^*	PATIENTS, N (%) N = 136^†
PCP	110 (64.7)	104 (76.4)
Obstetrician	20 (11.8)	12 (8.8)
Internist treating GDM	16 (9.4)	16 (11.8)
PCP and obstetrician	9 (5.3)	2 (1.5)
PCP and internist	9 (5.3)	2 (1.5)
No answer or anyone	6 (3.5)	NA

GDM—gestational diabetes mellitus, NA—not applicable, PCP—primary care provider.
↵* Number of physician respondents who answered the question.
↵† Number of patient respondents who answered the question.