The screening recommendation strategy will be randomly allocated by the research coordinator after confirmation of a live birth and ensuring that the mother and her baby have been discharged from the hospital. In the unlikely event of a death, it was felt that the patient should be screened by the health care team with follow-up in the HRU postpartum as type 2 DM may be related to the cause of death. The physician reminder letter will consist of a patient specific recommendation to screen postpartum for type 2 DM using a 2-hour 75g OGTT and the evidence supporting this recommendation. The letter will inform the physician if their patient has or has not been given the requisition for the recommended screening test. (Appendix 1C) The patient reminder consists of a letter requesting the patient to proceed with screening, the requisition that is required for the screening test, as well as the instructions to follow for screening. (Appendix 1D)