© 2008 American Public Health Association DOI: 10.2105/AJPH.2006.095877
Heather M. Devlin and Jay Desai are with the Minnesota Diabetes Program at the Minnesota Department of Health, St. Paul. At the time of the study, Gregory S. Holzman was with the Department of Community Medicine, School of Medicine and Health Sciences, University of North Dakota, Grand Forks. David T. Gilbertson is with the US Renal Data System, Minneapolis, Minn. Correspondence: Requests for reprints should be sent to Heather M. Devlin, MA, Minnesota Diabetes Program, Minnesota Department of Health, PO Box 64882, St Paul, MN 55164-0882 (e-mail: heather.devlin{at}health.state.mn.us).
We used Minnesota birth certificate data from 1993–2003 to test 2 hypotheses: rates of diabetes-complicated pregnancy are increasing, and disparities between more and less socially advantaged groups are widening. Significant increases occurred in rates (per 1000 live births) of prepregnancy and gestational diabetes mellitus (from 2.6 to 4.9 and 25.6 to 34.8, respectively). Increases were significant in all demographic groups except gestational diabetes among American Indian mothers, and disparities worsened among all groups. Targeted interventions and surveillance improvements are needed.
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