Glucose intolerance in early postpartum in women with gestational diabetes: Who is at increased risk?

• Glucose intolerance is frequent postpartum in women with gestational diabetes.
• Timely follow up postpartum is important to start lifestyle interventions.
• Several risk factors are identified for early progression to glucose intolerance.
• Further research is needed since studies are confounded by a lack of uniformity.

Women with a history of gestational diabetes (GDM) have an increased risk for developing type 2 diabetes in the years after the index pregnancy. Some women with GDM already develop glucose intolerance in early postpartum. The best screening strategy for glucose intolerance in early postpartum among women with a history of GDM is still debated. We review the most important risk factors of women with GDM to develop glucose intolerance within one year postpartum. We also discuss the current recommendations for screening in early postpartum and the many challenges to organize postpartum follow up in primary care.