Managing women with gestational diabetes mellitus in the postnatal period.
Guidelines for management of women with a history of gestational diabetes mellitus (GDM) in the postpregnancy period have lagged behind the recognition that this is an important time for medical intervention. However, in the past decade, the evidence-base for screening algorithms, contraceptive management, diabetes prevention strategies and implications for offspring has expanded. In this review, we discuss current recommendations for managing women with GDM in the postnatal period, with particular attention to postpartum diabetes screening, prevention of future glucose intolerance and family planning.
Departments of Medicine and Obstetrics & Gynecology, University of Michigan, Ann Arbor, MI, USA. cathkim@umich.edu
Catherine
C
Kim
D016640:Diabetes, Gestational / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy; D055317:Evidence-Based Practice; D005260:Female; D018149:Glucose Intolerance / Q000517:prevention & control*; D005951:Glucose Tolerance Test; D019983:Guideline Adherence / Q000592:standards*; D006801:Humans; D008403:Mass Screening / Q000592:standards*; D049590:Postpartum Period; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D012307:Risk Factors