Prevalence Pattern and Management of Gestational Diabetes Mellitus


Affiliations

  • Avinashilingam Institute for Home Science and Higher Education for Women, Department of Food Service Management and Dietetics, Coimbatore, 641043, India

Abstract

Gestational Diabetes Mellitus (GDM) defined as carbohydrate intolerance with first time recognition or onset during pregnancy has become the most common endocrinological disorder complicating pregnancy. Screening, diagnosis, management and care in both antenatal and postnatal period of women poses a challenge and necessitates universal screening for glucose intolerance in pregnancy. An exponential increase in the rate of gestational diabetes mellitus is seen which has escalated from 4 to 6 per cent in the early 90's to 16 to 20 per cent of all pregnancies. Indian women have the highest frequency of GDM among the ethnic groups in South Asian countries and also have eleven fold increased risk of developing glucose intolerance during pregnancy compared to Caucasian women.

Subject Discipline

Obstetrics and Gynaecology

Full Text:

References

Seshiah, V., Siddharth Shah, Diagnosis of GDM in the country. J. Assoc. Phys. Ind., 2011, In Press.

Seshiah, V., Balaji, V. and Balaji, M.S. Pregnancy and diabetes scenario around the world : India. Intern. J. Gynecol. Obst., 2009, 104 (Suppl. 1).

Metzger, B.E. and Coustan, D.R. Summary and recommendations of the Fourth International Workshop-Conference on Gestational Diabetes mellitus. Diab. Care, 2008, 21, B 161-167.

Dornhorst, A., Paterson, C.M. and Nicholl, J.S. High prevalence of gestational diabetes in women. Diab. Care, 1998, 21, B 43-49.

Alberti, K. and Zimett, P. Definition, diagnosisand classification of diabetes mellitus and its complications. Past 1: diagnosis and classification of diabetes mellitus provisional report of a WHO consultation, Diab. Med., 1998, 15, 539 - 553.

Kim, C., Berger, D.K. and Chamany, S. Recurrence of gestational diabetes mellitus: a systematic review. Diab. Care, 2007, 30, 1314-1319.

Bartha, J.L., Martinez - Del - Fresno, P. and Comino - Delgato, R. Early diagnosis of gestational diabetes mellitus and prevention of diabetes related complications. Eur. J. Obstet. Gynaecol. Reprod. Biol., 2003, 109, 41 - 44.

Kurpad, A.V. Body Composition and BMI Criterion for Indians, 4, 5.1. : Nutrition Foundation of India, October 2005, NFI Bulletin, Vol.26, P.P 1-4.

Jang, H.C., Cho., N.H., Jung, K.B., Oh, K.S., Dooley, S.L. and Metzger, B.E. Screening for gestational diabetes mellitus in korea. Int. J. Gynaecol. Obstet., 1995, 51, 115-122.

Yajnik, C.S., Kale, S.D. and Kulkarni, S.R. High risk of diabetes and metabolic syndrome in Indian women with gestational diabetes. Diab. Med., 2004, 21, 1257-1259.

Sinha, A.K. Thyroid Disease in Pregnancy and its Relationship to Diabetes, Scientific Conference of the International Association of Diabetes and Pregnancy study group, Abstract vol., 69.

Anna J. Lee, Richard J. Hiscock and Peter Wein : Gestational diabetes mellitus : Clinical predictors long - term risk of developing type 2 diabetes, Diab. Care, 2007, 30.

Radder, J.K. and Van Roosmalen, J. HbA1C in healthy, pregnant women. Netherlands J. Med., 2005, 63, 256-259.

Landon, M.B. The NICHD maternal and foetal medicine unit (MFMU) network gestational diabetes mellitus trial. J. Matern. Foet. Neonat. Med., 2010, 23, 210-213.


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