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Obstet Gynecol Clin North Am. 2017 Jun;44(2):207-217. doi: 10.1016/j.ogc.2017.02.002.

Gestational Diabetes: Diagnosis, Classification, and Clinical Care.

Author information

1
Division of Diabetes, Endocrinology, and Metabolism, Department of Internal Medicine, 984120 Nebraska Medical Center, Omaha, NE 68198-4120, USA.
2
Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, 983255 Nebraska Medical Center, Omaha, NE 68198-3255, USA. Electronic address: ptomich@unmc.edu.

Abstract

Gestational diabetes mellitus (GDM) affects approximately 6% of pregnant women, and prevalence is increasing in parallel with the obesity epidemic. Protocols for screening/diagnosing GDM are controversial with several guidelines available. Treatment of GDM results in a reduction in the incidence of preeclampsia, shoulder dystocia, and macrosomia. If diet and lifestyle changes do not result in target glucose levels, then treatment with metformin, glyburide, or insulin should begin. It is generally recommended that pregnancies complicated by GDM do not go beyond term. For women identified to have prediabetes, intensive lifestyle intervention and metformin have been shown to prevent or delay progression to type 2 diabetes.

KEYWORDS:

Classification; Clinical care; Diagnosis; Gestational diabetes

PMID:
28499531
DOI:
10.1016/j.ogc.2017.02.002
[Indexed for MEDLINE]

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