title: [Strategy in gestational diabetes].
abstract: This paper reviews current literature on strategic policy in gestational diabetes (GDM). Emphasis is placed on early identification of carbohydrate intolerance. Definitive guidelines related to screening procedures, diagnostic criteria, glucose monitoring with threshold for insulin therapy in GDM were briefly described. Pregnancy termination and delivery management have been discussed. The importance of postpartum follow-up is pointed out. Special attention is paid to the association with increased antenatal risk of subsequent diabetes and consequently raised perinatal morbidity and/or mortality. For appropriate health-care a cooperation between patients, obstetricians and diabetologists is suggested.
authors.affiliation: Zakład Patofizjologii Ciazy Akademii Medycznej w Białymstoku.
authors.forename: M
authors.initials: M
authors.lastname: Kinalski
authors.forename: A
authors.initials: A
authors.lastname: Sledziewski
authors.forename: A
authors.initials: A
authors.lastname: Kretowski
mesh_terms: D001786:Blood Glucose / Q000378:metabolism*; D016640:Diabetes, Gestational / Q000097:blood / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D005260:Female; D006801:Humans; D007226:Infant Mortality; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000517:prevention & control; D008403:Mass Screening; D008428:Maternal Mortality; D010817:Physician-Patient Relations; D011247:Pregnancy; D011256:Pregnancy Outcome; D011295:Prenatal Care; D011379:Prognosis; D012307:Risk Factors
chemical_list: D001786:Blood Glucose