Primary care GPs' and secondary care specialists' responses to questions relating to the postnatal short-term follow-up of women diagnosed with gestational diabetes mellitus
| Primary care GPs | Secondary care specialists | ||
|---|---|---|---|
| Question | n (%) | n (%) | P-valuea |
| Where do your patients with gestational diabetes usually have their 6-week <0.001b postnatal check? (n = 896 GPs and 336 specialists) | |||
| Hospital | 140 (15.6) | 164 (48.8) | |
| General practice | 417 (46.5) | 108 (32.1) | |
| Either hospital or general practice | 264 (29.5) | 57 (17.0) | |
| Don't know | 75 (8.4) | 7 (2.1) | |
| Do your patients with gestational diabetes usually have a test to check for ongoing diabetes after pregnancy? (n = 900 GPs and 341 specialists) | <0.001c | ||
| Yes | 718 (79.8) | 335 (98.2) | |
| No | 61 (6.8) | 4 (1.2) | |
| Don't know | 121 (13.4) | 2 (0.6) | |
| If yes, what type of test do they have? (n = 709 GPs and 333 specialists) | <0.001b | ||
| Random blood glucose | 28 (3.9) | 7 (2.1) | |
| Fasting blood glucose | 396 (55.2) | 43 (12.8) | |
| Glucose tolerance test | 221 (30.8) | 271 (80.9) | |
| >1 type of test | 58 (8.1) | 6 (1.8) | |
| Other | 6 (0.8) | 6 (1.8) | |
| If yes, how soon after pregnancy do your patients with gestational diabetes <0.001c usually have an appointment for this test? (n = 707 GPs and 328 specialists) | |||
| Within 6 weeks | 239 (33.8) | 206 (62.8) | |
| 7 weeks to 3 months | 307 (43.4) | 118 (36.0) | |
| After 3 months | 73 (10.3) | 4 (1.2) | |
| Don't know | 88 (12.5) | — | |
| If yes, who is responsible for ordering this test? (n = 716 GPs and 323 specialists)d | <0.001c | ||
| Hospital | 181 (25.5) | 295 (89.4) | |
| General practice | 317 (44.6) | 27 (8.2) | |
| No clear responsibility | 188 (26.4) | 7 (2.1) | |
| Don't know | 25 (3.5) | 1 (0.3) | |
| Who do you routinely inform of the results of this test? (n = 317 GPs and 295 specialists) | |||
| Patient | 286 (90.2) | 19 (6.4) | |
| Hospital | — | — | |
| GP | — | 21 (7.1) | |
| Patient and hospital | 28 (8.8) | — | |
| Patient and the GP | — | 247 (83.7) | |
| Don't know | — | 7 (2.4) | |
| Do you have a system in place to follow-up women who fail to attend their postnatal test to check for ongoing diabetes after pregnancy? (n = 284 specialists) | |||
| Yes | 214 (75.4) | ||
| No | 70 (24.6) | ||