Gestational Diabetes: Overview with Emphasis on Medical Management
Open accessAbstract
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.
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Using the one-step 2-h 75 g OGTT, approximately 17.8% of pregnant women in the US would be classified as having gestational diabetes mellitus.
“In turn, using the one-step 2-h 75 g OGTT approximately 17.8% of pregnant women would be classified as having GDM, which would almost double the frequency of GDM in the US [4].”
From Evolution of Gestational Diabetes Mellitus across Continents in 21st Century (2022) · cites this paper as [4]
The Centers for Disease Control estimates the prevalence of gestational diabetes mellitus in the US to be approximately 10% using the two-step OGTT.
“Nowadays, the prevalence of GDM was estimated by the Centers for Disease Control (CDC) to be approximately 10% in the United States (US), using the two-step OGTT as a screening.”
From Evolution of Gestational Diabetes Mellitus across Continents in 21st Century (2022) · cites this paper as [4]
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References 52 · Cited by 240
Research works printed but not linked: 2
- [17]Johnson D.G. Bonsnes R.W. The intravenous glucose tolerance test in pregnancy J. Clin. Investig. 1948 27 745 748 10.1172/JCI102024 18101595 · DOI
- [45]Macrosomia ACOG Practice Bulletin No. 216. American College of Obstetricians and Gynecologists Obstet.Gynecol. 2020 135 e18 e35 10.1097/AOG.0000000000003606 31856124 · DOI
- Authors
- Lende, M., & Rijhsinghani, A.
- Affiliations
- Albany Medical College (US)
- Corresponding author
- Rijhsinghani, Asha
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2020-12-21
- Volume
- 17
- Issue
- 24
- Pages
- 9573
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC7767324
- OpenAlex
- W3114647716
- Cited by
- 240
- References
- 52
- Citations by year
- 2026: 22 · 2025: 56 · 2024: 46 · 2023: 71 · 2022: 34 · 2021: 11
- FWCI
- 3.44
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy and Medication Impact
- Keywords
- gestational diabetes mellitus, medical management, hyperglycemia in pregnancy, GDM screening, IADPSG criteria, perinatal complications, obesity, pregnancy outcomes, treatment options
- MeSH terms
- Female, Humans, Hyperglycemia, Mothers, Obesity, Pregnancy, Pregnancy Outcome, Incidence, Diabetes, Gestational
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