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Gestational Diabetes Mellitus: Diagnosis, Maternal and Fetal Outcomes, and Management

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Diabetes in Women

Part of the book series: Contemporary Diabetes ((CDI))

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Abstract

Gestational diabetes mellitus (GDM), or diabetes first recognized during pregnancy, is associated with increased risk of adverse perinatal outcomes. After GDM delivery, both mothers and offspring are at risk for long-term chronic disease. Clinical recognition and treatment of GDM may reduce peripartum risk, but there is a lack of consensus on how to define, screen and treat GDM. There is also a lack of information on how treatment affects long-term outcomes as well as precise information on the prevalence of long-term outcomes. Consensus regarding the definition of GDM may be achieved in the next several years with completion of the HAPO trial, but further study on the long-term effects of oral medications other than insulin is needed, and greater attention needs to be devoted to improving postpartum screening and to the follow-up and intervention for women and offspring to improve long-term outcomes.

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Authors and Affiliations

  1. Division of Research, Kaiser Permanente, Oakland, CA, USA

    Assiamira Ferrara

  2. Depts. of Medicine and Obstetrics & Gynecology, University of Michigan, Ann Arbor, MI, USA

    Catherine Kim

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  1. Assiamira Ferrara
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  2. Catherine Kim
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Editors and Affiliations

  1. Dept. Medicine, University Ioannina, Ioannina, 455 10, Greece

    Agathocles Tsatsoulis

  2. Dept. Internal Medicine, University of Michigan, E. Medical Center Dr. 1500, Ann Arbor, 48109-0354, U.S.A.

    Jennifer Wyckoff

  3. Dept. Medicine, Harvard Medical School, Joslin Place 1, Boston, 02215, U.S.A.

    Florence M. Brown

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Ferrara, A., Kim, C. (2009). Gestational Diabetes Mellitus: Diagnosis, Maternal and Fetal Outcomes, and Management. In: Tsatsoulis, A., Wyckoff, J., Brown, F. (eds) Diabetes in Women. Contemporary Diabetes. Humana Press. https://doi.org/10.1007/978-1-60327-250-6_13

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