GESTATIONAL DIABETES MELLITUS (GDM): POSTPARTUM DIABETES PREVENTION SUNLEAF WOMEN'S CARE HOSPITAL 2 KEY EVIDENCE-BASED MESSAGES 1. GDM does not end at delivery. Women with a history of gestational diabetes have a substantially increased lifetime risk of type 2 diabetes. Arrange a 75-g oral glucose tolerance test (OGTT) at 4–12 weeks postpartum, preferably using non-pregnancy diagnostic criteria. 2. Prevention requires long-term follow-up. If postpartum glucose testing is normal, repeat diabetes screening every 1–3 years. Counsel on sustainable nutrition, regular physical activity, healthy weight management and breastfeeding where appropriate. Women with prediabetes may benefit from structured lifestyle intervention and, when indicated, metformin. KEY TAKE-HOME MESSAGE Every woman with GDM needs a documented postpartum glucose test and a lifelong diabetes-prevention plan. Do not lose the opportunity to prevent future type 2 diabetes after delivery. Clinical checklist for antenatal visits - Identify preeclampsia risk factors at booking. - Consider low-dose aspirin prophylaxis for patients with one high-risk factor or multiple moderate-risk factors, following applicable local guidance. - Start at 12 weeks when indicated; initiation before 16 weeks is optimal under ACOG/SMFM guidance. - Individualize dose and timing according to local protocol, contraindications and bleeding risk. Do not advise routine self-medication. #SUNLEAFWOMENSCARE #PREECLAMPSIAPREVENTION #HIGH RISK PREGNANCY #ANTENATALCARE #OBGYN #SURAT #VARACHHA #SARTHANA