To the Editor: Gestational diabetes mellitus (GDM) is being diagnosed with increasing frequency in Australia, with the greatest prevalence reported in South Asian women.1,2 South Asian women, comprising Indians, Sri Lankans, Bangladeshis, Afghanis and Pakistanis, are more likely to have GDM and develop type 2 diabetes than Caucasian women.1,2 Data from the landmark Mothers after Gestational Diabetes in Australia trial show that about 40% of the 573 women recruited into the trial were from an Asian background.2 Retention rates for the intervention and usual care groups were 73% and 79%, respectively.2
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- 1. Bellamy L, Casas J‐P, Hingorani AD, Williams D. Type 2 diabetes mellitus after gestational diabetes: a systematic review and meta‐analysis. Lancet 2019; 373: 1773–1779.
- 2. O'Reilly SL, Dunbar JA, Versace V, et al. Mothers after Gestational Diabetes in Australia (MAGDA): a randomised controlled trial of a postnatal diabetes prevention program. PLoS Med 2016; 13: e1002092.
- 3. Royal Australian College of General Practitioners. General practice management of type 2 diabetes 2016–18. Melbourne: RACGP, 2016. https://www.racgp.org.au/FSDEDEV/media/documents/Clinical%20Resources/Guidelines/Diabetes/General-practice-management-of-type-2-diabetes_1.pdf (viewed Dec 2019).
- 4. Nankervis A, McIntyre HD, Moses R, et al. ADIPS consensus guidelines for the testing and diagnosis of gestational diabetes mellitus in Australia. Sydney: ADIPS, 2013. http://www.adips.org/downloads/adipsconsensusguidelinesgdm-03.05.13versionacceptedfinal.pdf (viewed May 2020).
- 5. Simmons DS, Walters BNJ, Wein P, Cheung NW. Guidelines for the management of gestational diabetes mellitus revisited. Med J Aust 2002; 176: 352. https://www.mja.com.au/journal/2002/176/7/guidelines-management-gestational-diabetes-mellitus-revisited.
- 6. Wilkinson SA, Brodribb WE, Upham S, et al. Primary care of women after gestational diabetes mellitus: mapping the evidence‐practice gap. Med J Aust 2014; 201: S74–S77. https://www.mja.com.au/journal/2014/201/3/primary-care-women-after-gestational-diabetes-mellitus-mapping-evidence-practice.
- 7. Bandyopadhyay M, Small R, Davey MA, et al. Lived experience of gestational diabetes mellitus among immigrant South Asian women in Australia. Aust N Z J Obstet Gynaecol 2011; 51: 360–364.
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