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Gestational Diabetes Mellitus Disease Summary

Overview

Gestational diabetes mellitus (GDM) is any degree of glucose intolerance with onset or first recognition during pregnancy, as stated in the Introduction section.

Gestational diabetes mellitus is a common pregnancy complication globally, affecting approximately 1 in 6 live births, according to data from the International Diabetes Federation. A detailed discussion about the prevalence of gestational diabetes is in the Epidemiology section.

The developmental process of gestational diabetes mellitus is in the Pathophysiology section.

Other conditions associated with the development of gestational diabetes are in the Risk Factors section.



Gestational Diabetes Mellitus_Disease SummaryGestational Diabetes Mellitus_Disease Summary

History and Physical Examination

Women with gestational diabetes mellitus are asymptomatic early in pregnancy, as stated in the Clinical Presentation section.

The History and Physical Examination sections enumerate the important information needed in the evaluation of pregnant women for gestational diabetes mellitus.

Diagnosis

The Diagnosis or Diagnostic Criteria section features criteria for overt diabetes and gestational diabetes.

Discussions on the “one-step” and “two-step” approaches in the diagnosis of gestational diabetes mellitus are in the Screening section.  

The Differential Diagnosis section lists other conditions that should be considered when diagnosing gestational diabetes mellitus.

Management

Discussions on maternal and fetal surveillance are in the Evaluation section.

The Nonpharmacological section includes the importance of preconception counseling, medical nutrition therapy (MNT), and physical activity in patients who are diagnosed with gestational diabetes mellitus.

The Pharmacological Therapy section discusses therapeutic options in patients with gestational diabetes mellitus, such as Insulin, Metformin and Glibenclamide.

The Monitoring section explains postpartum management and diabetes mellitus screening in gestational diabetes mellitus.