Risk Factors of Postpartum Cardiovascular Disease in Patients with Gestational Diabetes Mellitus

Abstract

Objective: To investigate the risk factors of postpartum cardiovascular disease in patients with gestational diabetes mellitus (GDM). Methods: From December 2020 to December 2021, pregnant women who underwent 75-g oral glucose tolerance test (OGTT) between 24 and 28 weeks of gestation and were diagnosed with GDM were selected as the research subjects. These women were followed-up after delivery. Results: The average fasting plasma glucose (FPG) levels of these women were 6.25 ± 1.36 mmol/L before discharge and 5.01 ± 1.45 mmol/L at 42 days after delivery; the average 2-hour plasma glucose (2hPG) levels were 11.23 ± 2.01 mmol/L before discharge and 7.98 ± 1.23 mmol/L at 42 days after delivery; the average insulin levels were 8.36 ± 1.98 mmol/L before discharge and 2.98 ± 1.36 mmol/L at 42 days after delivery. There were 46 patients with postpartum cardiovascular disease, with an incidence rate of 22.89%. Conclusion: By improving the postpartum management of patients, the weight of GDM patients can be better controlled, their insulin sensitivity can be increased, and the occurrence of glucose and lipid metabolism disorders can be reduced.