Gestational Diabetes Mellitus

Details

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State: Public
Version: Author's accepted manuscript
Serval ID
serval:BIB_EAD583DADBA3
Type
A part of a book
Publication sub-type
Chapter: chapter ou part
Collection
Publications
Institution
Title
Gestational Diabetes Mellitus
Title of the book
Novelties in Diabetes
Author(s)
Spaight Caroline, Gross Justine, Horsch Antje, Puder Jardena Jacqueline
Publisher
S. Karger AG
ISBN
9783318056389
9783318056396
ISSN
1421-7082
1662-2979
Publication state
Published
Issued date
19/01/2016
Pages
163-178
Language
english
Abstract
Based on the Hyperglycemia and Adverse Pregnancy Outcome study, new universal screening recommendations and cut-offs for gestational diabetes mellitus (GDM) have been proposed. In addition to the immediate perinatal risk, GDM carries an increased risk of metabolic disease in the mother and child. Maternal obesity has even been shown to be associated with increased all-cause mortality in offspring. In addition to known risk factors, excessive gestational weight gain, increased fat consumption, a low vitamin D level, psychological stress and negative mood are risk factors for GDM. Regarding therapy, the US Preventive Task Force concluded in 2013 that GDM treatment significantly reduces the risks of pre-eclampsia, macrosomia and shoulder dystocia (relative risks of 0.62, 0.5 and 0.42, respectively). Although nutrition therapy represents a cornerstone in GDM management, the results of studies are not clear regarding which types of dietary advice are the most suitable. Most physical activity interventions improve glucose control and/or reduce insulin use. Recent studies have evaluated and provided more information about treatment with metformin or glyburide. Postpartum management is essential and should focus on long-term screening and diabetes prevention strategies.
Pubmed
Create date
20/11/2015 12:49
Last modification date
21/08/2019 6:32
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