Skip to main content
×
×
Home

Road map for the management of gestational diabetes

  • Oded Langer (a1)
    • Published online: 01 February 1999
Abstract

Gestational diabetes mellitus (GDM) is defined as ‘carbohydrate intolerance of variable severity with onset or first recognition during pregnancy’. GDM affects approximately 4–10% of all pregnancies in the United States. Pregnancies complicated by GDM have both short and long term effects on the developing fetus. Studies have shown that elevated levels of glycaemia are associated with increased perinatal mortality. O'Sullivan et al. in his original work, found a four-fold higher rate of perinatal mortality in untreated women with gestational diabetes when compared to women with a normal glucose tolerance test in the same time period. Pettit et al., when studying Pima Indians, found a direct association between a 2-hour, 75g glucose load result and perinatal mortality. Evaluation of recent studies concerning gestational diabetes revealed relatively high rates of stillbirth and perinatal mortality. Thus, it is clear that lack of a therapeutic regimen for these patients will result in increased fetal mortality.

Copyright
Corresponding author
Address for correspondence: Dr Oded Langer, Department of Obstetrics and Gynecology, The University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, Texas 78284-7836.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Fetal and Maternal Medicine Review
  • ISSN: 0965-5395
  • EISSN: 1469-5065
  • URL: /core/journals/fetal-and-maternal-medicine-review
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 2 *
Loading metrics...

Abstract views

Total abstract views: 56 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 12th June 2018. This data will be updated every 24 hours.