Gestational Diabetes Mellitus: A Perspective

Gestational Diabetes Mellitus: A Perspective

Authors

  • Parul T Shah
  • Hina Ganatra
  • Rina V Patel
  • Kruti J Delliwala
  • Mohini Bhagat

Keywords:

Gestational Diabetes, hyperglycemia, glucose intolerance

Abstract

Background: Gestational diabetes mellitus (GDM) is increasing in prevalence due to prevalence of overweight and obesity in women of childbearing age. Much controversy surrounds the diagnosis and management of gestational diabetes, emphasizing the importance, relevance and consequences. 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 fetal 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 treatment and prevention of GDM and the long and short term consequences of gestational diabetes for both mother and offspring. Methodology: A study was done between July 2016 to July 2017. A total of 54 patients were included in the study. Results: The incidence of gestational diabetes mellitus is about 17.8%. Majority of the patients were primi para between 25-29 years age group.22.2% patients had family history of diabetes. Majority of the patients showed good response to insulin. 51.9% patients had vaginal delivery and 48.1% patients had LSCS. Conclusion: Gestational Diabetes Mellitus can be treated and have a better outcome by Pre-pregnancy counseling, good glycaemic control, regular antenatal care, proper monitoring of blood glucose level and timely management which can reduce maternal and fetal morbidity and mortality. [Parul S NJIRM 2017; 8(6):79-82]

References

1. Fernando A, Bhide A & Arulkumaran S Arias practical guide to High risk pregnancy and delivery. new delhi: elsevier; 2015.
2. Williams, Cunningham FG & Leveno KJ Williams obstetrics. united states: McGraw Hill; 2014.
3. Mpondo BC, Ernest A, Dee HE. Gestational diabetes mellitus: challenges in diagnosis and management. Journal of Diabetes & Metabolic Disorders. 2015 May 12;14(1):42.
4. Agarwal MM. Gestational diabetes mellitus: An update on the current international diagnostic criteria. World journal of diabetes. 2015 Jun 25;6(6):782.
5. Agarwal MM, Dhatt GS, Punnose J, Zayed R. Gestational diabetes: fasting and postprandial glucose as first prenatal screening tests in a high-risk population. The Journal of reproductive medicine. 2007 Apr;52(4):299-305.
6. World Health Organization. Report of a WHO consultation: diagnostic criteria and classification of hyperglycaemia first detected in pregnancy: a World Health Organization guideline. Diabetes Res Clin Pract. 2014;103:341-63.
7. Hod M, Kapur A, Sacks DA, Hadar E, Agarwal M, Di Renzo GC, Roura LC, McIntyre HD, Morris JL, Divakar H. The International Federation of Gynecology and Obstetrics (FIGO) Initiative on gestational diabetes mellitus: A pragmatic guide for diagnosis, management, and care. International Journal of Gynecology & Obstetrics. 2015 Oct 1;131(S3).
8. Kampmann U, Madsen LR, Skajaa GO, Iversen DS, Moeller N, Ovesen P. Gestational diabetes: A clinical update. World journal of diabetes. 2015 Jul 25;6(8):1065.
9. American Diabetes Association. Gestational diabetes mellitus. Diabetes care. 2004 Jan 1;27(suppl 1):s88-90.

Downloads

Published

2018-02-06

How to Cite

Shah, P. T., Ganatra, H., Patel, R. V., Delliwala, K. J., & Bhagat, M. (2018). Gestational Diabetes Mellitus: A Perspective: Gestational Diabetes Mellitus: A Perspective. National Journal of Integrated Research in Medicine, 8(6), 79–82. Retrieved from http://nicpd.ac.in/ojs-/index.php/njirm/article/view/1339

Issue

Section

Original Articles