Simrat Kaur Professor, Department of Medical Surgical Nursing, School of Nursing, Galgotia University, Greater Noida 201310, Uttar Pradesh, India
Ritu null Student, Department of Medical Surgical Nursing, School of Nursing, Galgotia University, Greater Noida 201310,Uttar Pradesh, India
S.P. Subashini Student, Department of Medical Surgical Nursing, School of Nursing , Galgotia University, Greater Noida 201310,Uttar Pradesh, India
Sanathoi Chanu Dean, Department of Medical Surgical Nursing, School of Nursing , Galgotia University, Greater Noida 201310,Uttar Pradesh, India
Address for correspondence: Simrat Kaur, Professor, Department of Medical Surgical Nursing, School of Nursing, Galgotia University, Greater Noida 201310, Uttar Pradesh, India E-mail: simrat.kaur@galgotiasuniversity.edu.in
This license enables
reusers to distribute, remix, adapt, and build upon the material in any medium
or format for noncommercial purposes only, and only so long as attribution is
given to the creator.
Received : March 24, 2023
Accepted : April 14, 2023
Published : April 30, 2023
Abstract
Gestational diabetes mellitus (GDM) is increasing in prevalence in tandem with the dramatic increase in the prevalence of overweight and obesity in women of childbearing age. Much controversy surrounds the diagnosis and management of gestational diabetes, emphasizing the importance and relevance of clarity and consensus. If newly proposed criteria are adopted universally a significantly growing number of women will be diagnosed as having GDM, implying new therapeutic challenges to avoid foetal and maternal complications related to the hyperglycemia of gestational diabetes. This review provides an overview of clinical issues related to GDM, including the challenges of screening and diagnosis, the pathophysiology behind GDM, the treatment and prevention of GDM and the long and short term consequences of gestational diabetes for both mother and offspring.
References
1. Ben-Haroush A, Yogev Y, Hod M. Epidemiology of gestational diabetes mellitus and its association with Type 2 diabetes. Diabet Med. 2004;21:103–113.
2. Catalano PM, Ehrenberg HM. The short- and long-term implications of maternal obesity on the mother and her offspring. BJOG. 2006;113:1126–1133.
3. HAPO Study Cooperative Research Group. The Hyperglycemia and Adverse Pregnancy Outcome (HAPO) Study. Int J Gynaecol Obstet. 2002;78:69–77.
4. Ferrara A. Increasing prevalence of gestational diabetes mellitus: a public health perspective. Diabetes Care. 2007;30 Suppl2:S141–S146.
5. Jiwani A, Marseille E, Lohse N, Damm P, Hod M, Kahn JG. Gestational diabetes mellitus: results from a survey of country prevalence and practices. J MaternFetal Neonatal Med. 2012;25:600–610.
6. Macaulay S, Dunger DB, Norris SA. Gestational diabetes mellitus in Africa: a systematic review. PLoS One. 2014;9:e97871.
7. Diabetes Atlas International Diabetes Federation. 6th ed. Available from:
8. American Diabetes Association. Standards of medical care in diabetes--2014. Diabetes Care. 2014;37 Suppl1:S14–S80.
9. Nielsen LR, Ekbom P, Damm P, Glümer C, Frandsen MM, Jensen DM, Mathiesen ER. HbA1c levels are significantly lower in early and late pregnancy. Diabetes Care. 2004;27:1200–1201.
10. Yogev Y, Metzger BE, Hod M. Establishing diagnosis of gestational diabetes mellitus: Impact of the hyperglycemia and adverse pregnancy outcome study. Semin Fetal Neonatal Med. 2009;14:94–100.
Data Sharing Statement
There are no additional data available. All raw data and code are available upon request.
Funding
This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.
This license enables
reusers to distribute, remix, adapt, and build upon the material in any medium
or format for noncommercial purposes only, and only so long as attribution is
given to the creator.
This license enables
reusers to distribute, remix, adapt, and build upon the material in any medium
or format for noncommercial purposes only, and only so long as attribution is
given to the creator.