title: Diagnostic Criteria and Treatment for Gestational Diabetes Mellitus.
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.
authors: Department of Obstetrics, University Medical Center Utrecht, Utrecht, The Netherlands.
authors: Daphne N
authors: DN
authors: Voormolen
authors: Monash Centre for Health Research and Implementation, School of Public Health and Preventative Medicine, Monash University, Clayton, Victoria, Australia.
authors: Sally K
authors: SK
authors: Abell
authors: Department of Obstetrics and Gynaecology, Women's and Children's Hospital, Adelaide, Australia.
authors: Rachel
authors: R
authors: James
authors: The Robinson Research Institute, School of Medicine, University of Adelaide, Adelaide, South Australia, Australia.
authors: William M
authors: WM
authors: Hague
authors: Department of Obstetrics and Gynaecology, South Australian Health and Medical Research Institute, Adelaide, Australia.
authors: Ben Willem
authors: BW
authors: Mol
mesh_terms: D016640:Diabetes, Gestational / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*; D005260:Female; D006801:Humans; D017410:Practice Guidelines as Topic; D011237:Predictive Value of Tests; D011247:Pregnancy; D015995:Prevalence; D012307:Risk Factors; D016896:Treatment Outcome