Gestational Diabetes Mellitus:current knowledge and unmet needs

J Diabetes. 2016 Nov;8(6):770-781. doi: 10.1111/1753-0407.12422. Epub 2016 Jul 28.

Abstract

Gestational diabetes mellitus (GDM) is a global health concern, not only because its prevalence is high and on the increase, but also because of the potential implications for the health of mothers and their offspring. Unfortunately, there is considerable controversy in the literature surrounding the diagnosis and treatment of GDM, as well as the possible long-term consequences for the offspring. As a result, worldwide there is a lack of uniformly accepted diagnostic criteria and the advice regarding the treatment of GDM, including diet, insulin therapy, and the use of oral blood glucose-lowering agents, is highly variable. In this review we provide an overview of the important issues in the field of GDM, including diagnostic criteria, different treatment regimens available, and the long-term consequences of GDM in the offspring.

Keywords: diagnosis; diet; gestational diabetes mellitus; insulin; oral blood glucose-lowering agents; 口服降糖药物; 妊娠糖尿病; 胰岛素; 诊断; 饮食.

Publication types

  • Review

MeSH terms

  • Blood Glucose / analysis
  • Diabetes, Gestational* / diagnosis
  • Diabetes, Gestational* / physiopathology
  • Diabetes, Gestational* / therapy
  • Diet
  • Female
  • Humans
  • Hypoglycemic Agents / administration & dosage
  • Insulin / administration & dosage
  • Pregnancy

Substances

  • Blood Glucose
  • Hypoglycemic Agents
  • Insulin