The risk of long-term diabetes is increased in women who have had an episode of diabetes during pregnancy. The risk increases 3 to 6 years after gestational diabetes, according to the study published in Obesity Reviews.
The research team conducted a systematic review of 30 studies of 2,626,905 pregnant women. The interest was to assess the risk of true diabetes occurring after an episode of diabetes that may appear during pregnancy ("gestational diabetes").
Participants with previous gestational diabetes had an increased risk of diabetes of 7.76 compared to participants without a history of gestational diabetes. The risk increases after adjusting for several criteria: age, pregnancy, BMI. The risk of diabetes was highest at 3 to 6 years after gestational diabetes.
Change the way of life
It is already known that early type 2 diabetes significantly increases the risk of microvascular disease (retinopathy, kidney and nerve damage) and atherosclerosis. Women who have an episode of diabetes during pregnancy are at high risk of developing true diabetes 3-6 years after pregnancy which can increase the risk of atherosclerosis and microvascular lesions in this young population.
The study stresses the importance of initiating a lifestyle change very early in the 3 years after pregnancy to hope to prevent or delay the onset of diabetes.
« Several controlled trials are underway to test the effectiveness of lifestyle change on the risk of diabetes in women with gestational diabetes »comments the author of the study. " These trials can provide strong evidence about the benefits of such an intervention to this group of high-risk women. ".