Postpartum OGTT Non-Adherence in Regional and Rural Australia: A Longitudinal Study

All women with prior GDM remain at risk of missed postpartum screening, with engagement declining over time. Findings should be interpreted as exploratory, reflecting time-specific patterns rather than stable predictors. Early postpartum represents a critical window for intervention, while longer-term strategies require flexible, integrated, and accessible models of care to support sustained diabetes prevention, particularly in regional and rural populations.