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. 2015 May 12:14:42.
doi: 10.1186/s40200-015-0169-7. eCollection 2015.

Gestational diabetes mellitus: challenges in diagnosis and management

Bonaventura C T Mpondo  1 , Alex Ernest  2 , Hannah E Dee  3
Affiliations

Gestational diabetes mellitus: challenges in diagnosis and management

Bonaventura C T Mpondo et al. J Diabetes Metab Disord. .

Abstract

Gestational diabetes mellitus (GDM) is a well-characterized disease affecting a significant population of pregnant women worldwide. It has been widely linked to undue weight gain associated with factors such as diet, obesity, family history, and ethnicity. Poorly controlled GDM results in maternal and fetal morbidity and mortality. Improved outcomes therefore rely on early diagnosis and tight glycaemic control. While straightforward protocols exist for screening and management of diabetes mellitus in the general population, management of GDM remains controversial with conflicting guidelines and treatment protocols. This review highlights the diagnostic and management options for GDM in light of recent advances in care.

Keywords: Gestation diabetes mellitus; Glucose intolerance; Glycaemic control; Insulin; Oral agents; Screening.

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References

    1. Metzger BE, Coustan DR. Summary and recommendations of the Fourth International Workshop-Conference on Gestational Diabetes Mellitus. The Organizing Committee. Diabetes Care. 1998;21(Suppl 2):B161–7. - PubMed
    1. Report of the expert committee on the diagnosis and classification of diabetes mellitus. Diabetes Care. 2003;26 Suppl 1:S5–20. - PubMed
    1. National Diabetes, Information Clearinghouse (NIDC).“Diabetes Overview.” National Diabetes Information Clearinghouse. NIH Publication, Nov. 2008.
    1. O’Sullivan JB, Mahan CM, Charles D, Dandrow RV. Screening criteria for high-risk gestational diabetic patients. Am J Obstet Gynecol. 1973;116(7):895–900. - PubMed
    1. Cosson E, Benchimol M, Carbillon L, Pharisien I, Pariès J, Valensi P, et al. Universal rather than selective screening for gestational diabetes mellitus may improve fetal outcomes. Diabetes Metab. 2006;32(2):140–6. doi: 10.1016/S1262-3636(07)70260-4. - DOI - PubMed

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