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Gestational Diabetes: Diagnosis, Classification, and Clinical Care.
Obstet Gynecol Clin North Am 2017; 44(2):207-217OG

Abstract

Gestational diabetes mellitus (GDM) affects approximately 6% of pregnant women, and prevalence is increasing in parallel with the obesity epidemic. Protocols for screening/diagnosing GDM are controversial with several guidelines available. Treatment of GDM results in a reduction in the incidence of preeclampsia, shoulder dystocia, and macrosomia. If diet and lifestyle changes do not result in target glucose levels, then treatment with metformin, glyburide, or insulin should begin. It is generally recommended that pregnancies complicated by GDM do not go beyond term. For women identified to have prediabetes, intensive lifestyle intervention and metformin have been shown to prevent or delay progression to type 2 diabetes.

Authors+Show Affiliations

Division of Diabetes, Endocrinology, and Metabolism, Department of Internal Medicine, 984120 Nebraska Medical Center, Omaha, NE 68198-4120, USA.Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, 983255 Nebraska Medical Center, Omaha, NE 68198-3255, USA. Electronic address: ptomich@unmc.edu.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

28499531

Citation

Mack, Lynn R., and Paul G. Tomich. "Gestational Diabetes: Diagnosis, Classification, and Clinical Care." Obstetrics and Gynecology Clinics of North America, vol. 44, no. 2, 2017, pp. 207-217.
Mack LR, Tomich PG. Gestational Diabetes: Diagnosis, Classification, and Clinical Care. Obstet Gynecol Clin North Am. 2017;44(2):207-217.
Mack, L. R., & Tomich, P. G. (2017). Gestational Diabetes: Diagnosis, Classification, and Clinical Care. Obstetrics and Gynecology Clinics of North America, 44(2), pp. 207-217. doi:10.1016/j.ogc.2017.02.002.
Mack LR, Tomich PG. Gestational Diabetes: Diagnosis, Classification, and Clinical Care. Obstet Gynecol Clin North Am. 2017;44(2):207-217. PubMed PMID: 28499531.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Gestational Diabetes: Diagnosis, Classification, and Clinical Care. AU - Mack,Lynn R, AU - Tomich,Paul G, PY - 2017/5/14/entrez PY - 2017/5/14/pubmed PY - 2017/12/27/medline KW - Classification KW - Clinical care KW - Diagnosis KW - Gestational diabetes SP - 207 EP - 217 JF - Obstetrics and gynecology clinics of North America JO - Obstet. Gynecol. Clin. North Am. VL - 44 IS - 2 N2 - Gestational diabetes mellitus (GDM) affects approximately 6% of pregnant women, and prevalence is increasing in parallel with the obesity epidemic. Protocols for screening/diagnosing GDM are controversial with several guidelines available. Treatment of GDM results in a reduction in the incidence of preeclampsia, shoulder dystocia, and macrosomia. If diet and lifestyle changes do not result in target glucose levels, then treatment with metformin, glyburide, or insulin should begin. It is generally recommended that pregnancies complicated by GDM do not go beyond term. For women identified to have prediabetes, intensive lifestyle intervention and metformin have been shown to prevent or delay progression to type 2 diabetes. SN - 1558-0474 UR - https://www.unboundmedicine.com/medline/citation/28499531/Gestational_Diabetes:_Diagnosis_Classification_and_Clinical_Care_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0889-8545(17)30013-X DB - PRIME DP - Unbound Medicine ER -