Clinical Recommendations for the Use of Islet Cell Autoantibodies to Distinguish Autoimmune and Non-Autoimmune Gestational Diabetes

Clinical Reviews in Allergy & Immunology
Kadri Haller-Kikkatalo, Raivo Uibo

Abstract

Gestational diabetes mellitus (GDM) is defined as carbohydrate intolerance that begins or is first recognized during pregnancy. The prevalence of GDM is highly variable, depending on the population studied, and reflects the underlying pattern of diabetes in the population. GDM manifests by the second half of pregnancy and disappears following delivery in most cases, but is associated with the risk of subsequent diabetes development. Normal pregnancy induces carbohydrate intolerance to favor the availability of nutrients for the fetus, which is compensated by increased insulin secretion from the maternal pancreas. Pregnancy shares similarities with adiposity in metabolism to save energy, and both conditions favor the development of insulin resistance (IR) and low-grade inflammation. A highly complicated network of modified regulatory mechanisms may primarily affect carbohydrate metabolism by promoting autoimmune reactions to pancreatic β cells and affecting insulin function. As a result, diabetes development during pregnancy is facilitated. Depending on a pregnant woman's genetic susceptibility to diabetes, autoimmune mechanisms or IR are fundamental to the development autoimmune or non-autoimmune GDM, respectively. Pregnancy ma...Continue Reading

References

Apr 27, 1991·Lancet·M Songini, S Muntoni
Jan 1, 1991·Upsala Journal of Medical Sciences·A SunehagU Ewald
Jun 13, 1998·European Journal of Endocrinology·A Berghout, W Wiersinga
Jan 7, 1999·International Journal of Obesity and Related Metabolic Disorders : Journal of the International Association for the Study of Obesity·V Mohamed-AliS W Coppack
Jan 3, 2001·Blood·T A Fehniger, M A Caligiuri
Apr 5, 2001·American Journal of Physiology. Endocrinology and Metabolism·P A KernG Ranganathan
Apr 17, 2001·American Journal of Obstetrics and Gynecology·J L BarthaR Comino-Delgado
Jul 31, 2001·Lancet·M A Atkinson, G S Eisenbarth
May 25, 2002·Diabetic Medicine : a Journal of the British Diabetic Association·F W F Hanna, J R Peters
Jun 28, 2002·Diabetes·John P KirwanPatrick M Catalano
Sep 28, 2002·Diabetes Care·Catherine KimRobert H Knopp
Jan 23, 2003·Molecular Aspects of Medicine·Mario BarbagalloGiuseppe Paolisso
Mar 1, 2003·Diabetes Care·Myles WolfRavi Thadhani
Aug 14, 2003·The Journal of Clinical Endocrinology and Metabolism·Ravi RetnakaranBernard Zinman
May 25, 1961·The New England Journal of Medicine·J B O'SULLIVAN
Oct 15, 2003·The Journal of Clinical Endocrinology and Metabolism·Laure Morin-PapunenJuha S Tapanainen
Feb 14, 2004·Clinical Immunology : the Official Journal of the Clinical Immunology Society·Rosanna E RamhorstLeonardo Fainboim
Feb 21, 2004·Science·Ronadip R BanerjeeMitchell A Lazar
Feb 27, 2004·Diabetic Medicine : a Journal of the British Diabetic Association·A Ben-HaroushM Hod
May 3, 2005·The Journal of Clinical Investigation·Kathryn E Wellen, Gökhan S Hotamisligil
Nov 25, 2005·Diabetes·Catherine PihokerAke Lernmark
Jun 21, 2006·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·Mukesh M AgarwalReem Zayed
Feb 15, 2007·Obesity·Xiaocun Sun, Michael B Zemel
May 24, 2007·Diabetes Care·Charlotta NilssonMona Landin-Olsson
Feb 27, 2008·Diabetes Care·Marshall W Carpenter
Oct 10, 2007·Acta Obstetricia Et Gynecologica Scandinavica·E Wender-OzegowskaM Wender
Aug 12, 2008·Inflammation & Allergy Drug Targets·Olavio R BaricordiRoberta Rizzo
Jan 14, 2009·Laboratory Investigation; a Journal of Technical Methods and Pathology·Hung-Tsung WuJuei-Tang Cheng
Mar 24, 2009·Clinical and Experimental Allergy : Journal of the British Society for Allergy and Clinical Immunology·C E MappO R Baricordi

❮ Previous
Next ❯

Citations

May 22, 2019·Frontiers in Endocrinology·Maunil K Desai, Roberta Diaz Brinton
Nov 13, 2020·International Journal of Endocrinology·Maria Grazia DalfràAnnunziata Lapolla
May 3, 2021·American Journal of Reproductive Immunology : AJRI·Theresa VilsmaierThomas Kolben

❮ Previous
Next ❯

Related Concepts

Related Feeds

Autoimmune Diseases

Autoimmune diseases occur as a result of an attack by the immune system on the body’s own tissues resulting in damage and dysfunction. There are different types of autoimmune diseases, in which there is a complex and unknown interaction between genetics and the environment. Discover the latest research on autoimmune diseases here.

Autoimmune Diabetes & Tolerance

Patients with type I diabetes lack insulin-producing beta cells due to the loss of immunological tolerance and autoimmune disease. Discover the latest research on targeting tolerance to prevent diabetes.