Description

Li et al reported a model for predicting post-partum type 2 diabetes in a Chinese woman with gestational diabetes. This can help to identify a woman who should have closer monitoring. The authors are from Tianjin Women's and Children's Health Center, Capital Institute of Pediatrics and Peking Union Medical College in China and Pennington Biomedical Research Center in Louisianna.


Patient selection: Chinese woman with type 2 diabetes

 

Parameters:

(1) family history of diabetes

(2) BMI category before pregnancy

(3) pregnancy-induced hypertension (PIH)

(4) 2-hour 75-gram glucose tolerance test category at 26-30 gestational weeks

 

Parameter

Finding

Points

family history of diabetes

no

0

 

yes

30.9

BMI category

< 24 kg per sq m

0

 

24 to 27.99

30.5

 

>= 28

57

PIH

no

0

 

yes

53.6

2-hour GTT

7.8 to 8.44 mmol/L

0

 

8.5 to 11.099 mmol/L

47

 

>= 11.1 mmol/L

100

 

total score =

= SUM(points for all of the parameter)

 

Interpretation:

• minimum score: 0

• maximum score: 241.5

 

value of X =

= (0.0001056 * ((score)^2)) - (0.002609 * (score)) - 2.686

 

probability of post-natal diabetes =

= 1 / (1 + EXP((-1) * X))


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