Correlates and Trends in Glucose Testing at Postpartum Checkups Among Women Diagnosed With Gestational Diabetes: Pregnancy Risk Assessment Monitoring System, 2016–2022

The American Diabetes Association and American College of Obstetricians and Gynecologists (ACOG) have recommended that women diagnosed with gestational diabetes mellitus (GDM) get screened for diabetes, impaired fasting glucose, or impaired glucose tolerance 4-12 weeks after delivery (1,2).The purpose of this study is to evaluate correlates and trends in postpartum glucose testing in a recent, population-based sample of U.S. women diagnosed with GDM.Data from phase 8 (2016-2022) of the Pregnancy Risk Assessment Monitoring System (PRAMS), a surveillance system that covers ∼80% of live births in the U.S., were analyzed (3).PRAMS sites that met the response threshold (2016-2017: 55%; 2018-2022: 50%) and released their data were included in this study.The analytic sample was restricted to women ≥20 years who reported having GDM during their most recent pregnancy.Women who reported having diabetes before pregnancy were excluded.The outcome, having a diabetes test during a postpartum checkup, was