Changing trends in management of gestational diabetes mellitus

World Journal of Diabetes
Gunasekaran Kala Poomalar

Abstract

Gestational diabetes mellitus (GDM) is on the rise globally. In view of the increasing prevalence of GDM and fetal and neonatal complications associated with it, there is a splurge of research in this field and management of GDM is undergoing a sea change. Trends are changing in prevention, screening, diagnosis, treatment and future follow up. There is emerging evidence regarding use of moderate exercise, probiotics and vitamin D in the prevention of GDM. Regarding treatment, newer insulin analogs like aspart, lispro and detemir are associated with better glycemic control than older insulins. Continuous glucose monitoring systems and continuous subcutaneous insulin systems may play a role in those who require higher doses of insulin for sugar control. Evidence exists that favors metformin as a safer alternative to insulin in view of good glycemic control and better perinatal outcomes. As the risk of developing GDM in subsequent pregnancies and also the risk of overt diabetes in later life is high, regular assessment of these women is required in future. Lifestyle interventions or metformin should be offered to women with a history of GDM who develop pre-diabetes. Further studies are required in the field of prevention of GDM fo...Continue Reading

Citations

Dec 5, 2015·Hypertension in Pregnancy : Official Journal of the International Society for the Study of Hypertension in Pregnancy·Keziban DoğanMurat Ekin
Dec 17, 2015·Experimental and Therapeutic Medicine·Yaping HuangGuangyong Ye
Jul 2, 2016·Indian Journal of Endocrinology and Metabolism·Badurudeen Mahmood BuharyMussa Almalki
May 18, 2016·Journal of Diabetes Investigation·Tian GongYun Wang
Aug 14, 2018·The Cochrane Database of Systematic Reviews·Ruth MartisJulie Brown
Oct 18, 2018·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·Laura MañéAntonio Payà
Aug 26, 2016·Endocrine Regulations·M SchiavoneDamiano Pizzol
Dec 20, 2018·Archives of Gynecology and Obstetrics·Amerigo VitaglianoVincenzo Berghella
Jan 5, 2017·Nutrition Reviews·Irma Silva-ZolezziJörg Spieldenner
May 10, 2019·European Journal of Nutrition·Hanieh AsgharianSakineh Mohammad-Alizadeh-Charandabi
Dec 25, 2019·Nursing Open·Gwendolyn Patience MensahSihaam Jardien-Baboo
Apr 11, 2017·Frontiers in Endocrinology·Suman MorampudiAnand Shanthanagowd Patil
Jun 20, 2018·Archives of Gynecology and Obstetrics·Suelen DallanoraRoberta Hack Mendes
Apr 20, 2017·Journal of Pregnancy·Jordyn T WallenbornSaba W Masho
Jul 14, 2020·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·Yan LiuYan Huo

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.