What is known and what remains unresolved regarding gestational diabetes mellitus (GDM)
- PMID: 32827397
- DOI: 10.1515/jpm-2020-0254
What is known and what remains unresolved regarding gestational diabetes mellitus (GDM)
Abstract
Gestational diabetes mellitus (GDM) has become a major public health issue and one of the most discussed topics in contemporary obstetrics. Due to rising prevalence of GDM worldwide impact and importance of this medical condition in good quality antenatal care is growing. GDM is associated with serious adverse perinatal outcomes and unfavorable long-term health consequences for both, mother and her child. Despite a great amount of knowledge accumulated regarding GDM, medical community remains indecisive and still debates the most appropriate diagnostic strategy, screening policy, and treatment options for pregnancies complicated with GDM. These unresolved issues generate controversies, motivate further research and contribute to the growing interest surrounding GDM. In this review we will discuss and try to explain some of them.
Keywords: International Association of Diabetes and Pregnancy Study Group (IADPSG); diagnosis; gestational diabetes mellitus; insulin; screening; treatment.
Similar articles
-
Comparison of criteria of International Association of Diabetes and Pregnancy Study Groups (IADPSG) with National Institute for Health and Care Excellence (NICE) for diagnosis of gestational diabetes mellitus.Arch Gynecol Obstet. 2020 Jul;302(1):47-52. doi: 10.1007/s00404-020-05564-9. Epub 2020 May 9. Arch Gynecol Obstet. 2020. PMID: 32388777
-
The 2019 Flemish consensus on screening for overt diabetes in early pregnancy and screening for gestational diabetes mellitus.Acta Clin Belg. 2020 Oct;75(5):340-347. doi: 10.1080/17843286.2019.1637389. Epub 2019 Jul 1. Acta Clin Belg. 2020. PMID: 31259665
-
Gestational diabetes mellitus: Confusion among medical doctors caused by multiple international criteria.J Obstet Gynaecol Res. 2015 Jun;41(6):861-9. doi: 10.1111/jog.12661. Epub 2014 Dec 29. J Obstet Gynaecol Res. 2015. PMID: 25546555
-
Feto-maternal outcomes in women with and without gestational diabetes mellitus according to the International Association of Diabetes and Pregnancy Study Groups (IADPSG) diagnostic criteria.Diabetes Metab Syndr. 2013 Oct-Dec;7(4):206-9. doi: 10.1016/j.dsx.2013.10.017. Epub 2013 Nov 14. Diabetes Metab Syndr. 2013. PMID: 24290085
-
Gestational diabetes: overview of the new consensus screening strategy and diagnostic criteria.Acta Clin Belg. 2012 Jul-Aug;67(4):255-61. doi: 10.2143/ACB.67.4.2062669. Acta Clin Belg. 2012. PMID: 23019800 Review.
Cited by
-
Lipids, apolipoproteins and gestational diabetes mellitus: a Mendelian randomization study.BMC Pregnancy Childbirth. 2024 May 6;24(1):347. doi: 10.1186/s12884-024-06556-2. BMC Pregnancy Childbirth. 2024. PMID: 38711000 Free PMC article.
-
Is there a causal association between gestational diabetes mellitus and immune mediators? A bidirectional Mendelian randomization analysis.Front Endocrinol (Lausanne). 2024 Apr 19;15:1358144. doi: 10.3389/fendo.2024.1358144. eCollection 2024. Front Endocrinol (Lausanne). 2024. PMID: 38706698 Free PMC article.
-
Perinatal characteristics and pregnancy outcomes of advanced maternal age women with gestational diabetes mellitus: A retrospective cohort study.Health Sci Rep. 2024 Feb 25;7(2):e1903. doi: 10.1002/hsr2.1903. eCollection 2024 Feb. Health Sci Rep. 2024. PMID: 38410499 Free PMC article.
-
Physical activity during pregnancy and the risk of gestational diabetes mellitus: a systematic review and dose-response meta-analysis.BMC Public Health. 2024 Feb 23;24(1):594. doi: 10.1186/s12889-024-18131-7. BMC Public Health. 2024. PMID: 38395913 Free PMC article.
-
Designing and Developing a Mobile App for Management and Treatment of Gestational Diabetes in Nepal: User-Centered Design Study.JMIR Form Res. 2024 Jan 17;8:e50823. doi: 10.2196/50823. JMIR Form Res. 2024. PMID: 38231562 Free PMC article.
References
-
- Deputy, NP, Kim, SY, Conrey, EJ, Bullard, KM. Prevalence and changes in preexisting diabetes and gestational diabetes among women who had a live birth – United States, 2012–2016. MMWR Morb Mortal Wkly Rep 2018;67:1201–7. https://doi.org/10.15585/mmwr.mm6743a2.
-
- Vince, K, Poljičanin, T, Brkić, M, Rodin, U, Matijević, R. Prevalence of diabetes five years after having gestational diabetes during pregnancy – Croatian national study. Prim Care Diabetes 2018;12:325–30. https://doi.org/10.1016/j.pcd.2018.02.003.
-
- Committee on Practice Bulletins—Obstetrics. Practice Bulletin No. 180: gestational diabetes mellitus. Obstet Gynecol 2017;130:e17–37. https://doi.org/10.1097/aog.0000000000002159.
-
- World Health Organisation. Diagnostic criteria and classification of hyperglycaemia first detected in pregnancy. Geneva: World Health Organization; 2013.
-
- HAPO Study Cooperative Research Group, Metzger, BE, Lowe, LP, Dyer, AR, Trimble, ER, Chaovarindr, U, et al. Hyperglycemia and adverse pregnancy outcomes. N Engl J Med 2008;358:1991–2002. https://doi.org/10.1056/nejmoa0707943.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical