Update on gestational diabetes.

Abstract

As the rate of obesity increases in adolescent and adult women in the United States, practitioners of obstetrics see higher rates of gestational diabetes. Recent clinical studies suggest that women with gestational diabetes have impaired pancreatic beta-cell function and reduced beta-cell adaptation resulting in insufficient insulin secretion to maintain normal glycemia. Despite recent evidence that even mild hyperglycemia is associated with adverse pregnancy outcomes, controversies still exist in screening, management, and treatment of gestational diabetes. Initial studies regarding glyburide for treatment of gestational diabetes are promising. Overall, only about half of the women with gestational diabetes are screened in the postpartum period, an ideal time for education and intervention, to decrease incidence of glucose intolerance and progression to type 2 diabetes.

• Authors: Gabriella Pridjian, Tara D Benjamin
• Journal: Obstetrics and gynecology clinics of North America (Obstet Gynecol Clin North Am) Vol. 37 Issue 2 Pg. 255-67 (Jun 2010) ISSN: 1558-0474 [Electronic] United States
• PMID: 20685552 (Publication Type: Journal Article, Review)
• Copyright: Copyright 2010 Elsevier Inc. All rights reserved.

Chemical References

• Blood Glucose
• Hypoglycemic Agents
• Glucose

Topics

• Blood Glucose (analysis)
• Diabetes, Gestational (diagnosis, metabolism, therapy)
• Diet
• Exercise
• Female
• Fetal Diseases
• Glucose (metabolism)
• Humans
• Hypoglycemic Agents (therapeutic use)
• Postpartum Period
• Pregnancy
• Pregnancy Outcome
• Prenatal Care
• Risk Factors