Conference abstract

Gestational diabetes: risk factors and their predictive power of future type 2 diabetes mellitus in Sub-Saharan women

Pan African Medical Journal - Conference Proceedings. 2021:11(46).03 Feb 2021.
doi: 10.11604/pamj-cp.2021.11.46.960
Archived on: 03 Feb 2021
Contact the corresponding author
Keywords: Gestational diabetes, type 2 diabetes, risks factors
Oral presentation

Gestational diabetes: risk factors and their predictive power of future type 2 diabetes mellitus in Sub-Saharan women

Gloria Anita Tekam1,&, Mesmin Yefou Dehayem2,3, Eugène Sobngwi3, Pierre Marie Tebeu3

1Higher Institute of Health Sciences, Bangangté, Cameroon¬, 2National Obesity Centre, Metabolic and Endocrine Diseases Unit, Yaoundé, Cameroon, 3Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon

&Corresponding author

Introduction: Gestational diabetes mellitus (GDM) can lead to type 2 diabetes, increasing mortality. Thus, its early screening is important. The goal of our study was to determine the proportion and risk factors of diabetes in sub-Saharan women with history of GDM. Methods: we conducted a cross sectional analytic study at the National Obesity Center of Yaounde. 264 type 2 diabetic women irrespective of a past history of GDM who had at least one pregnancy above 28 weeks of gestation were included. A questionnaire sought for associated risk factors, and was analyzed using Odds ratio. Results: the study population had a mean age of 52±6 years. 19.3% of the recruited subjects had a history of GDM, with a mean age of 40±6 years. Type 2 diabetes was diagnosed at a mean age of 36±2 years in this group. The risks factors associated to T2D after GDM were gravidic arterial hypertension (OR = 17.23; CI 1.12-264.33; P = 0.04), history of macrosomia (OR = 103.31; CI 84.29-127.39; P = 0.0001), lack of regular vegetables consumption before and after diagnosis of GDM (OR = 6.8; CI 1.24-38.01; P = 0.02).Conclusion: Gestational diabetes causes type 2 diabetes in patients at a young age. Reducing the incidence of type 2 diabetes mellitus after gestational diabetes is important, and can be done by screening for the above risk factors. Once present, optimal management and follow up even after pregnancy is capital.