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Gestational Diabetes: Overview with Emphasis on Medical Management

Author

Listed:
  • Michelle Lende

    (Division of Maternal and Fetal Medicine, Department of Obstetrics and Gynecology, Albany Medical Center, Albany Medical College, Albany, NY 12208, USA)

  • Asha Rijhsinghani

    (Division of Maternal and Fetal Medicine, Department of Obstetrics and Gynecology, Albany Medical Center, Albany Medical College, Albany, NY 12208, USA)

Abstract

With the rising trend in obesity, the incidence of gestational diabetes mellitus (GDM) and perinatal complications associated with the condition are also on the rise. Since the early 1900s, much knowledge has been gained about the diagnosis, implications, and management of gestational diabetes with improved outcomes for the mother and fetus. Worldwide, there is variation in the definition of GDM, methods to screen for the condition, and management options. The International Association of Diabetes in Pregnancy Study Groups has published recommendations for a one-step approach to screen pregnant women for GDM, in order to develop outcome-based criteria that can be used internationally. However, management of GDM continues to be varied, and currently several options are available for treatment of hyperglycemia during pregnancy. A review of various aspects of GDM is discussed with a focus on the medical management during pregnancy, as practiced in the United States.

Suggested Citation

  • Michelle Lende & Asha Rijhsinghani, 2020. "Gestational Diabetes: Overview with Emphasis on Medical Management," IJERPH, MDPI, vol. 17(24), pages 1-12, December.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:24:p:9573-:d:465762
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    References listed on IDEAS

    as
    1. Kim, S.Y. & England, L. & Wilson, H.G. & Bish, C. & Satten, G.A. & Dietz, P., 2010. "Percentage of gestational diabetes mellitus attributable to overweight and obesity," American Journal of Public Health, American Public Health Association, vol. 100(6), pages 1047-1052.
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    Cited by:

    1. Kataryna Jaworsky & Jeffrey L. Ebersole & Petar Planinic & Arpita Basu, 2021. "Associations of Diet with Cardiometabolic and Inflammatory Profiles in Pregnant Women at Risk for Metabolic Complications," IJERPH, MDPI, vol. 18(21), pages 1-11, October.
    2. Dominik Franciszek Dłuski & Monika Ruszała & Gracjan Rudziński & Kinga Pożarowska & Kinga Brzuszkiewicz & Bożena Leszczyńska-Gorzelak, 2022. "Evolution of Gestational Diabetes Mellitus across Continents in 21st Century," IJERPH, MDPI, vol. 19(23), pages 1-32, November.
    3. Anna Locatelli & Sara Ornaghi & Alessandra Terzaghi & Valeria Belleudi & Filomena Fortinguerra & Francesca Romana Poggi & Serena Perna & Francesco Trotta & MoM-Net Group, 2023. "Antidiabetic Therapy during Pregnancy: The Prescription Pattern in Italy," IJERPH, MDPI, vol. 20(23), pages 1-13, December.

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    Keywords

    gestational diabetes;

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