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Type 1 Diabetes Mellitus Diagnosed during Follow-up of Gestational Diabetes Mellitus in the Early Postpartum Period. 2018
Toshiyuki Ikeoka, and
Ayaka Sako, and
Genpei Kuriya, and
Hiroshi Yamashita, and
Ichiro Yasuhi, and
Ichiro Horie, and
Takao Ando, and
Norio Abiru, and
Atsushi Kawakami
Department of Endocrinology and Metabolism, National Hospital Organization Nagasaki Medical Center, Japan.
A 27-year-old woman with a history of gestational diabetes mellitus (GDM) developed type 1 diabetes mellitus (T1D) in the early postpartum period. Women with a history of GDM are at an increased risk of developing T1D, which is rarer than type 2 diabetes mellitus. A postpartum follow-up 75-g oral glucose tolerance test and the measurement of glutamic acid decarboxylase autoantibodies aided in the early detection of T1D in this patient. Careful attention should be paid to women with a history of GDM who exhibit clinical features suggestive of future development of T1D.
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