1245-P: GDM Patients and Prognostic Factors for Subsequent Type 2 Diabetes Mellitus—An Electronic Cohort Review

Introduction: GDM affects 8-10% of pregnancies in the US and nearly 50% of these women have subsequent diabetes diagnosis. However, research on the prognostic factors of T2D incidence among women with GDM is scarce, due to the limited sample sizes. We aim 1) to construct a large electronic cohort of GDM and 2) to build a prognostic model for T2D incidence among patients with GDM. Methods: We extracted EMRs of patients diagnosed with GDM between 2016 and 2022 from two health systems in NYC: Montefiore (MMC) and Mt. Sinai. Only MMC patients were analyzed in this report. Prognostic factors during pregnancy included 32 baseline & pregnancy characteristics, 76 office visit variables, 418 lab tests, and prescription of 31 drugs. Time from GDM diagnosis to T2D was analyzed using proportional hazards models. Results: We collected EMRs of 6,014 GDM patients at MMC who were racially diverse with a median age of 32, BMI of 31.8 kg/m2. Among them, 355 (5.9%) later developed T2D, yielding a high T2D incidence rate (21.1 per 1,000 PY). There was an immediate heightened risk: T2D incidence proportions were 3.8% by 1 year after GDM diagnosis, and 11.9% by 5 years. The risk was elevated in Hispanic White (HR=2.3), Hispanic Non-White (HR=2.0), and Black (HR=2.3) compared to non-Hispanic White (p