323: Gestational diabetes, obesity, and self perceived risk of type 2 diabetes

ObjectiveTo evaluate self-perceived risk of Type 2 Diabetes (T2DM) in patients with gestational diabetes (GDM). We hypothesized that women with GDM would perceive higher risk and be more willing to make lifestyle changes when compared to non-diabetic controls. As obesity is also a risk factor for T2DM, we also examined patient perception of risk related to obesity.Study DesignThis is a cross sectional study of postpartum women at a tertiary care center from July 1, 2012 to May 31, 2013. Women without pre-gestational diabetes and with a pre-pregnancy BMI ≥ 18.5 were eligible for inclusion. The primary outcome was self-perceived risk of T2DM. Secondary outcomes included willingness to make lifestyle changes and perception that these changes could modify risk assessed using an externally validated questionnaire. Secondary-analysis was performed to assess these outcomes in obese and non-obese, non-diabetic subjects.Results195 patients were enrolled. Patients with GDM were more likely to report high perception of T2DM risk in the next 10 years than patients without GDM (75.0% v. 15.5%, p<0.01). However, GDM patients were not more willing to make healthier lifestyle changes (82.1% v. 76.9%, p=0.54). Obese patients without diabetes were no more likely to report high risk of T2DM than their non-obese non-diabetic cohort (14.9% v. 14.8%, p=0.98) and were not more willing to make healthier lifestyle changes (80.8% v. 70.6%, p=0.18). Both GDM patients as well as non-diabetic obese patients demonstrated understanding that a history of GDM is a risk factor for T2DM, but showed inconsistent knowledge regarding modifiable and non-modifiable risk factors (Table).ConclusionTabled 1Self-perceived risk of type 2 diabetes and willingness to implement lifestyle changes*Calculated using chi-square analysis; **Race (African American, Hispanic, Asian American, Native American), diet, family history, personal history of GDM, age > 65, exercise, and weight control; †median (interquartile range); ††p-value from Mann-Whitney U. Open table in a new tab ObjectiveTo evaluate self-perceived risk of Type 2 Diabetes (T2DM) in patients with gestational diabetes (GDM). We hypothesized that women with GDM would perceive higher risk and be more willing to make lifestyle changes when compared to non-diabetic controls. As obesity is also a risk factor for T2DM, we also examined patient perception of risk related to obesity. To evaluate self-perceived risk of Type 2 Diabetes (T2DM) in patients with gestational diabetes (GDM). We hypothesized that women with GDM would perceive higher risk and be more willing to make lifestyle changes when compared to non-diabetic controls. As obesity is also a risk factor for T2DM, we also examined patient perception of risk related to obesity. Study DesignThis is a cross sectional study of postpartum women at a tertiary care center from July 1, 2012 to May 31, 2013. Women without pre-gestational diabetes and with a pre-pregnancy BMI ≥ 18.5 were eligible for inclusion. The primary outcome was self-perceived risk of T2DM. Secondary outcomes included willingness to make lifestyle changes and perception that these changes could modify risk assessed using an externally validated questionnaire. Secondary-analysis was performed to assess these outcomes in obese and non-obese, non-diabetic subjects. This is a cross sectional study of postpartum women at a tertiary care center from July 1, 2012 to May 31, 2013. Women without pre-gestational diabetes and with a pre-pregnancy BMI ≥ 18.5 were eligible for inclusion. The primary outcome was self-perceived risk of T2DM. Secondary outcomes included willingness to make lifestyle changes and perception that these changes could modify risk assessed using an externally validated questionnaire. Secondary-analysis was performed to assess these outcomes in obese and non-obese, non-diabetic subjects. Results195 patients were enrolled. Patients with GDM were more likely to report high perception of T2DM risk in the next 10 years than patients without GDM (75.0% v. 15.5%, p<0.01). However, GDM patients were not more willing to make healthier lifestyle changes (82.1% v. 76.9%, p=0.54). Obese patients without diabetes were no more likely to report high risk of T2DM than their non-obese non-diabetic cohort (14.9% v. 14.8%, p=0.98) and were not more willing to make healthier lifestyle changes (80.8% v. 70.6%, p=0.18). Both GDM patients as well as non-diabetic obese patients demonstrated understanding that a history of GDM is a risk factor for T2DM, but showed inconsistent knowledge regarding modifiable and non-modifiable risk factors (Table). 195 patients were enrolled. Patients with GDM were more likely to report high perception of T2DM risk in the next 10 years than patients without GDM (75.0% v. 15.5%, p<0.01). However, GDM patients were not more willing to make healthier lifestyle changes (82.1% v. 76.9%, p=0.54). Obese patients without diabetes were no more likely to report high risk of T2DM than their non-obese non-diabetic cohort (14.9% v. 14.8%, p=0.98) and were not more willing to make healthier lifestyle changes (80.8% v. 70.6%, p=0.18). Both GDM patients as well as non-diabetic obese patients demonstrated understanding that a history of GDM is a risk factor for T2DM, but showed inconsistent knowledge regarding modifiable and non-modifiable risk factors (Table). ConclusionTabled 1Self-perceived risk of type 2 diabetes and willingness to implement lifestyle changes*Calculated using chi-square analysis; **Race (African American, Hispanic, Asian American, Native American), diet, family history, personal history of GDM, age > 65, exercise, and weight control; †median (interquartile range); ††p-value from Mann-Whitney U. Open table in a new tab *Calculated using chi-square analysis; **Race (African American, Hispanic, Asian American, Native American), diet, family history, personal history of GDM, age > 65, exercise, and weight control; †median (interquartile range); ††p-value from Mann-Whitney U.