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Type: Journal article
Title: Diagnostic criteria and treatment for gestational diabetes mellitus
Author: Voormolen, D.
Abell, S.
James, R.
Hague, W.
Mol, B.
Citation: Seminars in Reproductive Medicine, 2016; 34(2):102-109
Publisher: Thieme Medical Publishers
Issue Date: 2016
ISSN: 1526-8004
Statement of
Daphne N. Voormolen, Sally K. Abell, Rachel James, William M. Hague, Ben Willem Mol
Abstract: The prevalence of gestational diabetes mellitus (GDM) is high, and the risks of maternal and perinatal complications with clear hyperglycemia are well recognized. The worldwide obesity epidemic and the consequent excess of hyperglycemia have resulted in a rising prevalence of GDM. Changing definitions and more intensive screening may also be contributing to an increased prevalence. Despite the recognized risks, much controversy surrounds the screening, diagnosis, and treatment of GDM. The more stringent diagnostic criteria, advocated in new guidelines, are based on observational studies and are not guided by interventional studies. Here, we review the evidence behind updated diagnostic criteria, stricter treatment targets, and current controversies and conclude that international consensus regarding diagnosis and treatment will only be achieved with further evidence from interventional studies.
Keywords: Gestational diabetes; GDM diagnostic criteria; treatment; guidelines
Rights: © 2018 Georg Thieme Verlag KG
DOI: 10.1055/s-0036-1572440
Appears in Collections:Aurora harvest 3
Obstetrics and Gynaecology publications

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