Update on gestational diabetes mellitus.
The incidence of gestational diabetes mellitus (GDM) is increasing in the United States. Universal GDM screening is recommended, although evidence of benefit is lacking. Treatment of GDM reduces the risk of shoulder dystocia, preeclampsia, and macrosomia. Intensive treatment is more effective than less-intensive treatment. Traditional management includes diet, exercise, and short- and intermediate-acting insulin regimens. Use of metformin and glyburide is controversial, but evidence supporting safety and efficacy is accumulating. Postpartum screening with a glucose tolerance test rather than a fasting blood glucose level should be performed 6 weeks after delivery.
Department of Family Medicine, University of Wisconsin School of Medicine and Public Health, 100 North Nine Mound Road, Verona, WI 53593, USA. ann.evensen@uwmf.wisc.edu
Ann E
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D016640:Diabetes, Gestational / Q000453:epidemiology* / Q000473:pathology / Q000517:prevention & control; D037001:Directive Counseling / Q000379:methods*; D005260:Female; D018149:Glucose Intolerance; D006801:Humans; D008429:Maternal Welfare; D009774:Obstetrics / Q000379:methods; D049590:Postpartum Period; D011247:Pregnancy; D011248:Pregnancy Complications / Q000517:prevention & control; D015995:Prevalence; D011320:Primary Health Care / Q000379:methods*; D012307:Risk Factors; D014481:United States / Q000453:epidemiology