Key Points Women in India with prior gestational diabetes mellitus (GDM) have a significantly elevated risk of dysglycemia, type 2 diabetes, and metabolic syndrome (MetS). Perform a comprehensive metabolic evaluation at 6–12 weeks postpartum (75 g OGTT + fasting lipids + blood pressure + waist), re-screen at 1 year, and then every 1–3 years thereafter, adjusting frequency based on risk factors and interpregnancy planning.
1,2 Background India has one of the highest global burdens of GDM, and progression to type 2 diabetes is faster in South Asian populations due to higher visceral adiposity and reduced β-cell reserve.² Women who develop GDM, particularly at younger ages (20–35), are at increased risk of persistent glucose intolerance, dyslipidemia, hypertension, and MetS even within the first postpartum year.³ Early postpartum follow-up, therefore, provides a critical opportunity to…
