RETIRED: Diabetes in Pregnancy

Berger, Howard; Gagnon, Robert; Sermer, Mathew

doi:10.1016/j.jogc.2016.04.002

Cited by 108Gestational Diabetes Research and ManagementPregnancy and preeclampsia studiesPregnancy and Medication Impact

RETIRED: Diabetes in Pregnancy

Berger, Howard, Gagnon, Robert, Sermer, Mathew·2016·Journal of Obstetrics and Gynaecology Canada

DOI 10.1016/j.jogc.2016.04.002

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Abstract

Objective This guideline reviews the evidence relating to the diagnosis and obstetrical management of diabetes in pregnancy. Outcomes The outcomes evaluated were short- and long-term maternal outcomes, including preeclampsia, Caesarean section, future diabetes, and other cardiovascular complications, and fetal outcomes, including congenital anomalies, stillbirth, macrosomia, birth trauma, hypoglycemia, and long-term effects. Evidence Published literature was retrieved through searches of PubMed and the Cochrane Library using appropriate controlled vocabulary (MeSH terms "diabetes" and "pregnancy"). Where appropriate, results were restricted to systematic reviews, randomized control trials/controlled clinical trials, and observational studies. There were no date limits, but results were limited to English or French language materials. Values The quality of evidence was rated using the criteria described in the Report of the Canadian Task Force on Preventive Health Care (Table 1). Summary statements Recommendations It is recognized that the use of different diagnostic thresholds for the "preferred" and "alternative" strategies could cause confusion in certain settings. Despite this, the committee has identified the importance of remaining aligned with the current Canadian Diabetes Association 2013 guidelines as being a priority. It is thus recommended that each care centre strategically align with 1 of the 2 strategies and implement protocols to ensure consistent and uniform reporting of test results.

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In Canada, the incidence of gestational diabetes mellitus changed from 3.8 to 6.5% (SOGC) or 2.0-4.0% (DA) in 1992 to 7.0% using the two-step method or 16.1% using the one-step method.
“Analyzing the data, the incidence of GDM changed from 3.8 to 6.5% (SOGC) or 2.0–4.0% (DA) in 1992 to 7.0% using the two-step method or to 16.1% using the one-step method.”
From Evolution of Gestational Diabetes Mellitus across Continents in 21st Century (2022) · cites this paper as [66]

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Gestational diabetes: opportunities for improving maternal and child health
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Incidence and Risk Factors for Hypoglycemia During Fetal-to-Neonatal Transition in Premature Infants
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Chaiworapongsa, T., Romero, R. J., Erez, O., Tarca, A. L., Conde‐Agudelo, A., Chaemsaithong, P., Kim, C. J., Kim, Y. M., Kim, J.-S., Yoon, B. H., et al. (2017) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2017.10.001 · Cited by 47 · see citing works
Glucose oxidase complexed gold-graphene nanocomposite on a dielectric surface for glucose detection: a strategy for gestational diabetes mellitus
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Evolution of Gestational Diabetes Mellitus across Continents in 21st Century
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Particle air pollution and gestational diabetes mellitus in Houston, Texas
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Pregnancy after heart transplantation: a well-thought-out decision? The Quebec provincial experience - a multi-centre cohort study
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Trends in National Canadian Guideline Recommendations for the Screening and Diagnosis of Gestational Diabetes Mellitus over the Years: A Scoping Review
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First-Trimester Abdominal Adipose Tissue Thickness to Predict Gestational Diabetes
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Gestational diabetes mellitus: Prevention, diagnosis and treatment. A fresh look to a busy corner
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Consensus in Gestational Diabetes MELLITUS: Looking for the Holy Grail
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Induction of labor versus expectant management for gestational diabetes mellitus at term
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Maternal schizophrenia and adverse birth outcomes: what mediates the risk?
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Protective effect of nimbolide against streptozotocin induced gestational diabetes mellitus in rats via alteration of inflammatory reaction, oxidative stress, and gut microbiota
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Diabetes in pregnancy in associations with perinatal and postneonatal mortality in First Nations and non-Indigenous populations in Quebec, Canada: Population-based linked birth cohort study
Chen, L., Wang, W.-J., Auger, N., Xiao, L., Torrie, J., McHugh, N. G.-L., & Luo, Z.-C. (2019) · BMJ Open · doi:10.1136/bmjopen-2018-025084 · Cited by 30 · see citing works
Severity of prepregnancy diabetes on the fetal malformations and viability associated with early embryos in rats†
Bueno, A., Sinzato, Y. K., Volpato, G. T., Gallego, F. Q., Perecin, F., Rodrigues, T., & Damasceno, D. C. (2020) · Biology of Reproduction · doi:10.1093/biolre/ioaa151 · Cited by 29 · see citing works
The Accuracy of 22 Fetal Weight Estimation Formulas in Diabetic Pregnancies
Čėsnaitė, G., Domža, G., Ramašauskaitė, D., & Volochovič, J. (2019) · Fetal Diagnosis and Therapy · doi:10.1159/000500452 · Cited by 28 · see citing works
Exposures influencing the developing central autonomic nervous system
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Designing Data Elements and Minimum Data Set (MDS) for Creating the Registry of Patients with Gestational Diabetes Mellitus
Ahmadi, M., & Mirbagheri, E. (2019) · Journal of Medicine and Life · doi:10.25122/jml-2019-0011 · Cited by 27 · see citing works
Pregnancy-related cardiovascular risk indicators: Primary care approach to postpartum management and prevention of future disease.
Graves, M., Howse, K., Pudwell, J., & Smith, G. N. (2019) · Europe PMC (PubMed Central) · Cited by 27 · see citing works
Development of gestational diabetes mellitus in women with periodontitis in early pregnancy: A population‐based clinical study
Liu, F., Sui, W., Zhou, Z., Mi, Y., He, T., Li, Z., Hong, Y., & Chen, F. (2021) · Journal Of Clinical Periodontology · doi:10.1111/jcpe.13578 · Cited by 26 · see citing works
The association between gestational diabetes and stillbirth: a systematic review and meta-analysis
Lemieux, P., Benham, J. L., Donovan, L., Moledina, N., Pylypjuk, C. L., & Yamamoto, J. M. (2021) · Diabetologia · doi:10.1007/s00125-021-05579-0 · Cited by 28 · see citing works
Qué hay acerca de las personas en la ciencia regional
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Mechanisms and Clinical Significance of Endothelial Dysfunction in High-Risk Pregnancies
McLaughlin, K., Audette, M. C., Parker, J. D., & Kingdom, J. C. (2018) · Canadian Journal of Cardiology · doi:10.1016/j.cjca.2018.01.006 · Cited by 23 · see citing works
Effects of exposure to phthalate during early pregnancy on gestational diabetes mellitus: a nested case–control study with propensity score matching
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Utility of ultrasound assessment in management of pregnancies with preterm prelabor rupture of membranes
Aviram, A., Quaglietta, P. R., Warshafsky, C., Zaltz, A., Weiner, E., Melamed, N., Singhal, N., Barrett, J., & Ronzoni, S. (2019) · Ultrasound in Obstetrics and Gynecology · doi:10.1002/uog.20403 · Cited by 20 · see citing works
Hesperidin Exerts the Gestational Diabetes Mellitus via AGEs-RAGE Signalling Pathway
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Time to Pregnancy, Obstetrical and Neonatal Outcomes after Breast Cancer: A Study from the Maternity Network for Young Breast Cancer Patients
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Effects of dietary polyphenols on maternal and fetal outcomes in maternal diabetes
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Incidence and Risk Factors for Glucose Disturbances in Premature Infants
Ahel, I. B., Tomulić, K. L., Vlašić-Cicvarić, I., Žuvić-Butorac, M., Dekanić, K. B., Šegulja, S., & Čače, I. B. B. (2022) · Medicina · doi:10.3390/medicina58091295 · Cited by 15 · see citing works
SARS-CoV-2 infection and glucose homeostasis in pregnancy. What about antenatal corticosteroids?
Kakoulidis, I., Ilias, Ι., & Koukkou, E. G. (2020) · Diabetes & Metabolic Syndrome Clinical Research & Reviews · doi:10.1016/j.dsx.2020.04.045 · Cited by 14 · see citing works
Ex vivo perfusion of the human placenta to investigate pregnancy pathologies
Zabel, R. R., Fávaro, R. R., Groten, T., Brownbill, P., & Jones, S. (2022) · Placenta · doi:10.1016/j.placenta.2022.10.006 · Cited by 16 · see citing works
First trimester glycosylated hemoglobin for gestational diabetes mellitus screening
Çetin, C., GÜNGÖR, N. D., & Yavuz, M. (2021) · Taiwanese Journal of Obstetrics and Gynecology · doi:10.1016/j.tjog.2021.08.002 · Cited by 14 · see citing works
Comparison of adverse maternal and perinatal outcomes between induction and expectant management among women with gestational diabetes mellitus at term pregnancy: a systematic review and meta-analysis
Luo, R., Wen, W., Corsi, D. J., Fell, D. B., Taljaard, M., Wen, S. W., & Walker, M. C. (2023) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-023-05779-z · Cited by 14 · see citing works
Lusianthridin Exerts Streptozotocin-Induced Gestational Diabetes Mellitus in Female Rats via Alteration of TLR4/MyD88/NF-κB Signaling Pathway
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Turkeltaub, P. C., Lockey, R. F., Holmes, K. B., & Friedmann, E. (2019) · Scientific Reports · doi:10.1038/s41598-019-55259-8 · Cited by 12 · see citing works
Demographic characteristics, medical needs and utilisation of antenatal care among pregnant undocumented migrants living in Denmark between 2011 and 2017
Funge, J. K., Boye, M. C., Parellada, C. B., & Nørredam, M. L. (2021) · Scandinavian Journal of Public Health · doi:10.1177/14034948211011400 · Cited by 12 · see citing works
Diabetes during pregnancy and perinatal outcomes among First Nations women in Ontario, 2002/03–2014/15: a population-based cohort study
Vélez, M. P., Slater, M. B., Griffiths, R., Shah, B. R., Sutherland, R., Jones, C. R., Jacklin, K. M., Walker, J. D., & Green, M. (2020) · CMAJ Open · doi:10.9778/cmajo.20190195 · Cited by 12 · see citing works
Interpretable Machine Learning for Predicting Adverse Pregnancy Outcomes in Gestational Diabetes: Retrospective Cohort Study
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Association between pregestational diabetes and mortality among appropriate-for-gestational age birthweight infants
Shour, A. R., Garacci, E., Palatnik, A., Dawson, A. Z., Anguzu, R., Walker, R. J., & Egede, L. E. (2021) · The Journal of Maternal-Fetal & Neonatal Medicine · doi:10.1080/14767058.2021.1878142 · Cited by 10 · see citing works
Maternal hypoglycaemia on the 50 g oral glucose challenge test — evaluation of obstetric and neonatal outcomes
Budak, M. Ş., & Araç, E. (2018) · Ginekologia Polska · doi:10.5603/gp.a2018.0063 · Cited by 10 · see citing works
Recent advances in the antepartum management of diabetes
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Association between physical activity education and prescription during prenatal care and maternal and fetal health outcomes: a quasi-experimental study
Saidi, L., Godbout, P., Morais-Savoie, C., Registe, P. P. W., & Bélanger, M. (2023) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-023-05808-x · Cited by 9 · see citing works
Outcomes of Pregnancies Affected by Gestational Diabetes and Type 2 Diabetes in a Rural First Nations Obstetrical Program in Northwest Ontario
Kattini, R., Poirier, J., Kelly, L., Madden, S., Ockenden, H., Dooley, J., & Hummelen, R. (2020) · Canadian Journal of Diabetes · doi:10.1016/j.jcjd.2020.01.001 · Cited by 9 · see citing works
Neonatal outcome in vaginal breech labor at 32 + 0—36 + 0 weeks of gestation: a nationwide, population-based record linkage study
Toijonen, A., Heinonen, S. T., Gissler, M., & Macharey, G. (2022) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-022-04547-9 · Cited by 9 · see citing works
Susceptibility to Low Vitamin B6 Diet–induced Gestational Diabetes Is Modulated by Strain Differences in Mice
Spinelli, P., Fields, A. M., Falcone, S., Mesaros, C., & Susiarjo, M. (2023) · Endocrinology · doi:10.1210/endocr/bqad130 · Cited by 8 · see citing works
Timing of delivery in women with pre-pregnancy diabetes mellitus: a population-based study
Brown, M., Melamed, N., Murray‐Davis, B., Hassan, H., Mawjee, K., Barrett, J. F. R., McDonald, S. D., Ray, J. G., Geary, M. P., & Berger, H. M. (2019) · BMJ Open Diabetes Research & Care · doi:10.1136/bmjdrc-2019-000758 · Cited by 8 · see citing works
Self-citation
Glycemia after Betamethasone in Pregnant Women without Diabetes—Impact of Marginal Values in the 75-g OGTT
Kakoulidis, I., Ilias, Ι., Linardi, A., Michou, A., Milionis, C., Petychaki, F., Venaki, E., & Koukkou, E. G. (2020) · Healthcare · doi:10.3390/healthcare8010040 · Cited by 8 · see citing works
Glycemic profile assessment during betamethasone administration in women with gestational diabetes mellitus
Kakoulidis, I., Ilias, Ι., Linardi, A., Milionis, C., Michou, A., & Koukkou, E. G. (2018) · Diabetes & Metabolic Syndrome Clinical Research & Reviews · doi:10.1016/j.dsx.2018.08.001 · Cited by 8 · see citing works
Dialysis in Pregnancy: Role of the Underlying Cause of Renal Failure on Peripartum Outcomes
Hoffman, M., & Sibai, B. M. (2020) · American Journal of Perinatology · doi:10.1055/s-0039-3400307 · Cited by 8 · see citing works
Adequacy of prenatal care and stillbirth
DAYAL, S., FOGEL, J., & GRIGGS, R. (2021) · Minerva Obstetrics and Gynecology · doi:10.23736/s2724-606x.21.04769-2 · Cited by 8 · see citing works
Vitamin E Supplement Protects Against Gestational Diabetes Mellitus in Mice Through nuclear factor-erythroid factor 2-related factor 2/heme oxygenase-1 Signaling Pathway
Lin, B., & Zhang, X. (2023) · Diabetes Metabolic Syndrome and Obesity · doi:10.2147/dmso.s397255 · Cited by 7 · see citing works
Temporal Trends in Gestational Diabetes Mellitus and Associated Risk Factors in Ontario, Canada, 2012–2020: A Population-Based Cohort Study
Luo, R., Fell, D. B., Corsi, D. J., Taljaard, M., Wen, S. W., & WALKER, M. C. (2024) · Journal of Obstetrics and Gynaecology Canada · doi:10.1016/j.jogc.2024.102573 · Cited by 7 · see citing works
Screening for gestational diabetes in pregnancy in Northwestern Ontario
Poirier, J., Kattini, R., Kelly, L., Madden, S., Voth, B., Dooley, J., Marazan, B., & Hummelen, R. (2020) · Canadian Journal of Rural Medicine · doi:10.4103/cjrm.cjrm_51_19 · Cited by 7 · see citing works
Trends in Gestational Diabetes Screening Practices in British Columbia from 2005–2019
Nethery, E., Hutcheon, J. A., Kotaska, A., Law, M. R., & Janssen, P. A. (2023) · Journal of Obstetrics and Gynaecology Canada · doi:10.1016/j.jogc.2023.01.002 · Cited by 7 · see citing works
Neurodevelopmental outcomes of singleton large for gestational age infants <29 weeks’ gestation: a retrospective cohort study
Rustogi, D., Synnes, A. R., Alshaikh, B. N., Hasan, S. U., Drolet, C., Massé, É., Murthy, P., Shah, P. S., Yusuf, K., on behalf of the Canadian Neonatal Network and the Canadian Neonatal Follow-Up Program, et al. (2021) · Journal of Perinatology · doi:10.1038/s41372-021-01080-z · Cited by 7 · see citing works
Biosensors and biomarkers for determining gestational diabetes mellitus and jaundice in children
Peng, S., Wang, Q., Xiong, G., Gopinath, S. C. B., & Lei, G. (2021) · Biotechnology and Applied Biochemistry · doi:10.1002/bab.2208 · Cited by 6 · see citing works
Maternal BMI in Twin Pregnancies and Impact on Neonatal Outcomes in the Level I Unit: A Retrospective Cohort Study
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Authors: Berger, H., Gagnon, R., & Sermer, M.
ORCID: Berger, Howard
Gagnon, Robert
Venue: Journal of Obstetrics and Gynaecology Canada
Publisher: Elsevier BV
Published: 2016-07
Volume: 38
Issue: 7
Pages: 667-679.e1
ISSN: 1701-2163 (ISSN-L)
DOI: 10.1016/j.jogc.2016.04.002
OpenAlex: W3149788893
Cited by: 108
References: 97
Citations by year: 2026: 4 · 2025: 4 · 2024: 8 · 2023: 9 · 2022: 11 · 2021: 20 · 2020: 19 · 2019: 20 · 2018: 10 · 2017: 2
FWCI: 13.73
Type: journal article
Language: en
Update notices: erratum (2017-06-01)
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of Obstetrics and Gynaecology Canada (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy and Medication Impact
Keywords: diabetes in pregnancy, gestational diabetes mellitus, obstetric management, preeclampsia, cesarean section, cardiovascular complications, congenital malformations, stillbirth, macrosomia, birth trauma, neonatal hypoglycemia, diagnostic thresholds
MeSH terms: Adult, Blood Glucose, Breast Feeding, Canada, Diabetes Mellitus, Female, Humans, Hyperglycemia, Pregnancy, Pregnancy in Diabetics, Diabetes, Gestational, Stillbirth, Young Adult

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