Response to: Improving postpartum screening rates

Excerpt

We would like to thank Drs. Gupta and Kalra [1] for their comments regarding our study [2] evaluating a strategy aimed at improving postpartum glucose tolerance testing. This difficult clinical dilemma may only be overcome if the problem is addressed from different angles or in a multifactorial approach. We agree that other strategies should be evaluated in order to overcome suboptimal postpartum testing rates currently seen. These strategies should not only lead to increased detection of diabetes and prediabetes but also be cost-effective. Direct home visits, screening with hemoglobin A1C levels and self-administered OGTT may lead to increased testing rates and may be part of the solution of this complex problem. We would encourage trials of these and other methods to determine their efficacy. …