Scientific Evidence for Different Options for GDM Screening and Management: Controversies and Review of the Literature

BioMed Research International
Claudia Caissutti, Vincenzo Berghella

Abstract

Background. Gestational diabetes (GDM) affects up to 7% of pregnant women and is associated with several maternal and perinatal morbidities. International organizations suggest several different recommendations regarding how to screen and to manage GDM.Objective.We aimed to analyze the most important and employed guidelines about screening and management of GDM and we investigated existing related literature.Results.We found several different criteria for screening for GDM, for monitoring GDM, and for starting pharmacological therapy. When using IADPSG criteria, GDM rate increased, perinatal outcomes improved, and screening became cost-effective. Compared to no treatment, treatment of women meeting criteria for GDM by IADPSG criteria but not by other less strict criteria has limited evidence for an effect on adverse pregnancy outcomes.

Associated Clinical Trials

May 17, 2018·Anna Palatnik, MD

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Citations

Nov 6, 2018·The Journal of International Medical Research·Ruirong PanJifang Wang
Mar 6, 2019·Asia-Pacific Journal of Public Health·Phung Thi Hoang NguyenDung Van Do
Jan 7, 2020·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Anna PalatnikLeonard E Egede
Oct 2, 2020·Minerva endocrinologica·Patrik ŠimjákMartin Haluzík
Dec 20, 2018·Archives of Gynecology and Obstetrics·Amerigo VitaglianoVincenzo Berghella
May 31, 2018·Journal of Clinical Medicine·Mukesh M Agarwal
May 26, 2020·Journal of Epidemiology·Xiuting MoRintaro Mori
May 24, 2019·F1000Research·Cristina MitricRichard N Brown
Feb 26, 2021·Journal of Diabetes Research·Genxia LiManman Yang
Aug 8, 2021·International Journal of Molecular Sciences·Matei-Alexandru CozmaAnca Angela Simionescu

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