Prevalence of gestational diabetes mellitus in Germany: Temporal trend and differences by regional socioeconomic deprivation
- PMID: 38840835
- PMCID: PMC11152075
- DOI: 10.25646/12086
Prevalence of gestational diabetes mellitus in Germany: Temporal trend and differences by regional socioeconomic deprivation
Abstract
Background: Gestational diabetes mellitus (GDM) increases the risk for adverse pregnancy outcomes. In 2012, a general screening for GDM was introduced in Germany.
Methods: The analysis is based on data from the external inpatient quality assurance for obstetrics from the years 2013 to 2021. Women with pregestational diabetes were excluded. GDM was defined either by documentation in the maternity record or by ICD diagnosis O24.4 during hospitalisation. We reported the prevalence stratified by year, maternal age and regional socioeconomic deprivation.
Results: The age-standardized prevalence of GDM continuously rose from 4.7 % in 2013 to 8.5 % in 2021. The increase was observed in all age groups. In 2021, this corresponded to 63,563 women with GDM. The prevalence was higher in highly deprived regions than in low deprived regions.
Conclusion: A steady increase in GDM prevalence and evidence of health inequalities emphasise the need for primary prevention strategies for GDM.
Keywords: Germany; Gestational diabetes; Pregnancy; Social deprivation; Surveillance.
© Robert Koch Institute. All rights reserved unless explicitly granted.
Conflict of interest statement
Conflicts of interest The authors declared no conflicts of interest.
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References
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- Deutsche Diabetes Gesellschaft (DDG), Deutsche Gesellschaft für Gynäkologie und Geburtshilfe (DGGG), Arbeitsgemeinschaft Geburtshilfe und Pränatalmedizin (AGG). S3-Leitlinie Gestationsdiabetes mellitus (GDM), Diagnostik, Therapie und Nachsorge, 2. Auflage (Gültigkeit abgelaufen, in Überarbeitung). 2018. [cited 01.02.2024]. Available from: https://register.awmf.org/de/leitlinien/detail/057-008.
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- International Diabetes Federation (IDF). IDF Diabetes Atlas, 10th edn. Brussels, Belgium. 2021. [cited 31.01.2024]. Available from: https://www.diabetesatlas.org.
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