Aspects Of Gestational Diabetes Mellitus Research Articles

Outcomes of Gestational Diabetes in Newborns

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.

Gestational Diabetes: Overview with Emphasis on Medical Management.

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.

ЧАСТОТА И МЕДИКО-СОЦИАЛЬНЫЕ ОСОБЕННОСТИ БЕРЕМЕННЫХ С ГЕСТАЦИОННЫМ САХАРНЫМ ДИАБЕТОМ В СОЧЕТАНИИ С АНЕМИЕЙ

Objective: To determine the frequency and medical and social aspects of gestational diabetes mellitus (GDM) in combination with anemia in pregnant women. Methods: 1661 pregnant women were examined in conditions of Reproductive Health Centers in Dushanbe. In order to detect GDM, a one-step oral glucose tolerance test (OGTT) was carried out using 75 g of anhydrous glucose dissolved in 250-300 ml of boiled water. Diagnostic threshold values of plasma glucose concentration were: fasting ≥5.1 mmol/l; after 1 hour of glucose load ≥10.0 mmol/l; after 2 hours of glucose load ≥8.5-11.0 mmol/l. The severity of anemia was determined by the results of hemoglobin in the blood and clinical signs Results: After OGTT, GDM was found in 36.5% of pregnant women, including 15.9% of women with anemia and without it, 20.6%. Pregnant women with the presence of GDM were older (25.4±5.2 years) compared with pregnant women without GDM (24.9±5.0 years). The combination of GDM with anemia in the studied population most often occurred in the examined women aged 25-29 years (31.5%), in multiparous (21.7%) and in obese patients (8.0%). Conclusion: The frequency and medical and social characteristics of gestational diabetes mellitus in combination with anemia are associated with age, parity, the socio-economic status of women, body mass index. Keywords: Gestational diabetes mellitus, anemia, pregnancy, age, parity, body mass index.

Gestational diabetes mellitus: A pragmatic approach to diagnosis and management

Gestational diabetes mellitus (GDM) is a common condition with risks for mother and baby. Type 2 diabetes mellitus (T2DM) and obesity are occurring with increasing frequency, and the incidence of GDM reflects this trend. Further, new diagnostic criteria have greatly increased the prevalence of GDM. Potential lifelong consequences exist for mother and baby if the condition goes untreated; however, adverse maternal and fetal effects can be ameliorated by effective pregnancy management. The aim of this article is to provide practical advice regarding GDM diagnosis, management and postpartum follow-up for general practitioners, who, increasingly, will beinvolved in GDM care. Controversy surrounds many aspects of GDM. Recommendations are frequently based on consensus. In the context of a deficient evidence base, any recommendations are open to debate. However, it is reasonable to suggest a pragmatic way forward, maintaining an open mind about the current diversity of practice and a preparedness to include further research findings into future practice.

Gestational Diabetes Mellitus: Risk and its Challenges

Gestational Diabetes Mellitus (GDM) is defined as glucose intolerance that was not present or recognized prior to pregnancy. GDM is associated with adverse outcome for mother and fetus. The prevalence of GDM varies from 1-14% and depends on population studied and diagnostic criteria used. This mini review discusses about the various aspects of GDM like aetiology, epidemiology, pathophysiology, diagnosis and management.